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Individual

MS. AKEENA KENNETTE ST. MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
1775 PARKER RD SE BLDG C, CONYERS, GA 30094-6654
(404) 923-0223
(833) 924-0340
Mailing address
840 PLUMBRIDGE CT, LITHONIA, GA 30058-9020
(404) 923-0223
(833) 924-0340

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
LD005235
GA
133V00000X
Registered Dietitian
Primary
LD005235
GA
171400000X
Health & Wellness Coach

Other

Enumeration date
10/05/2018
Last updated
05/31/2024
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