Individual
CAROLINE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 965-4189
Mailing address
131 BEAR LAKE DR, WARNER ROBINS, GA 31088-6620
(478) 922-7575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000304
GA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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