| Margaret Kennedy Williamson, RD | |
|
150 Gentilly Blvd, Cartersville, GA 30120-8522 | |
| (470) 490-6511 | |
| (770) 382-5762 |
| Full Name | Margaret Kennedy Williamson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 150 Gentilly Blvd, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649320391 | NPI | - | NPPES |
| 977614711D | Medicaid | GA | |
| 977614711C | Medicaid | GA | |
| 977614711A | Medicaid | GA | |
| 977614711B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD002661 (Georgia) | Primary |
| Provider Name | Harbin Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret Kennedy Williamson, RD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Margaret Kennedy Williamson, RD 150 Gentilly Blvd, Cartersville, GA 30120-8522 Ph: (470) 490-6511 |
Miss Cristina Michelle Caro, MBA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 775 West Ave, Suite A, Cartersville, GA 30120 Phone: 678-234-0225 | |
Mrs. Jennifer Payton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Central Ave, Cartersville, GA 30120 Phone: 770-383-8909 Fax: 770-383-8930 | |
Mrs. Sara Michelle Wallace, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Twelve Oaks Dr Se, Cartersville, GA 30120 Phone: 678-796-5171 | |
Rebecca Vincent, RD, LD, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Zena Dr, 100 Zena Drive, Cartersville, GA 30121 Phone: 770-382-1920 Fax: 770-387-3999 | |
Aj Doh, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 54 Middlebrook Dr, Cartersville, GA 30120 Phone: 470-273-0876 | |
Kerry Breedlove, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Zena Dr, Cartersville, GA 30121 Phone: 770-382-1920 |