Individual
EMILY GRACE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-2771
Mailing address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-2771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86171031
SC
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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