Most Relevant Information
Provider Data
| NPI Number: | 1003523036 |
| Provider Name: | CAMILLE BARNES |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1974 |
Most Important Dates
| Enumeration Date: | 10/31/2022 |
| Last Updated: | 10/31/2022 |
Provider Practice Location
2500 N STATE ST
JACKSON
MS
392164500
Practice Location Phone/Fax
| Phone: | 6019845065 |
| Fax: |
Provider Mailing Location
2212 SUZANNA DR
RAYMOND
MS
391547684
Provider Mailing Phone/Fax
| Phone: | 6015665166 |
| Fax: |