Individual
MARTHA ROSS HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
416 SAINT AUGUSTINE DR, MADISON, MS 39110-9602
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
599604
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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