Doctor Name: | MRS. CONNIE MCMICHAEL MARTIN |
NPI Number: | 1124260013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,LD |
License Number: | 901 |
Business Practice Address: | 234 Goodwin Crest Dr Birmingham, AL - 352093701 |
Business Phone Number: | 2052904550 |
Business Fax Number: | 2052904560 |
Mailing Address: | 234 Goodwin Crest Dr, BIRMINGHAM |
State: | AL |
Postal Code: | 352093701 |
Phone Number: | 2052904550 |
Fax Number: | 2052904560 |
NPI Enumeration Date: | 03/24/2009 |
NPI Last Update Date: | 03/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |