Meredith Martin, | |
10954 Emerald Rock Ln, Mechanicsville, VA 23116-5865 | |
(757) 585-3441 | |
Not Available |
Full Name | Meredith Martin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 10954 Emerald Rock Ln, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184344236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Smart Nutrition, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629548086 PECOS PAC ID: 7315284965 Enrollment ID: O20190122000001 |
Provider Name | Kab Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376264747 PECOS PAC ID: 2769859362 Enrollment ID: O20221111000720 |
Mailing Address | Practice Location Address |
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Meredith Martin, 1309 Jamestown Rd Ste 102, Williamsburg, VA 23185-3380 Ph: (757) 585-3441 | Meredith Martin, 10954 Emerald Rock Ln, Mechanicsville, VA 23116-5865 Ph: (757) 585-3441 |
Shanta Dayjah Jackson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8266 Atlee Rd Ste 215, Mechanicsville, VA 23116 Phone: 804-248-3878 | |
Jennifer Herman Rabung, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9331 Crestfield Dr, Mechanicsville, VA 23116 Phone: 804-359-1155 | |
Curtis Aaron Hinterberger-korn, RD Dietitian Medicare: Medicare Enrolled Practice Location: 8161 Creekside Village Dr, Mechanicsville, VA 23111 Phone: 724-355-6036 | |
Mrs. Leann Watson Morales, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8220 Meadowbridge Rd Ste 305, Mechanicsville, VA 23116 Phone: 804-287-4588 Fax: 804-287-4588 | |
Kiya Rivera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd Ste 305, Mechanicsville, VA 23116 Phone: 804-287-4590 | |
Kab, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 10320 Grendel Ct, Mechanicsville, VA 23116 Phone: 757-585-3441 Fax: 888-972-7994 |