Thelema C Martin in Atlanta - Nutrition, Renal
Thelema C Martin - NPI 1881862639
Thelema C Martin is a Nutrition, Renal in Atlanta, Georgia. Thelema C Martin practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Thelema C Martin is 1881862639. The last update date is 2013-03-28.
Thelema C Martin's current location address is 5605 Glenridge Dr Ne, Atlanta, Georgia. You can contact this provider via phone number 6785270800 and fax number 6782449010. The mailing address for Thelema C Martin is 5605 Glenridge Dr Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thelema C Martin |
|---|---|
| Address | 5605 Glenridge Dr Ne, Atlanta, Georgia |
| Phone Number | 6785270800 |
| Fax Number | 6782449010 |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1881862639 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2013-03-28 |
Provider Mailing Address Detail
| Address | 5605 Glenridge Dr Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303421365 |
| Phone Number | 6785270800 |
| Fax Number | 6782449010 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | LD001673 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique 10-digit identification code assigned to Thelema C Martin by the Centers for Medicare & Medicaid Services?
The Thelema C Martin has been issued the NPI (National Provider Identifier) 1881862639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thelema C Martin is geographically located?
The Thelema C Martin is physically situated at the following location: 5605 Glenridge Dr Ne, Atlanta, GA, 303421365.
What is the Thelema C Martin's area of specialization and corresponding taxonomy classification?
The Thelema C Martin's specialty field is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their specialties.
On what date did the Thelema C Martin receive the assignment of its 1881862639 from the Centers for Medicare & Medicaid Services?
The Thelema C Martin was issued its 1881862639 by the Centers for Medicare & Medicaid Services on 2008-02-14.
As of what date were the Thelema C Martin's details last updated?
The information pertaining to the Thelema C Martin, including its address, specialty, and other details, was most recently updated on 2013-03-28.
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