Individual
MRS. CONNIE MCMICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
234 GOODWIN CREST DR, BIRMINGHAM, AL 35209-3701
(205) 290-4550
(205) 290-4560
Mailing address
234 GOODWIN CREST DR, BIRMINGHAM, AL 35209-3701
(205) 290-4550
(205) 290-4560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
901
AL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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