| Meredith Martin, | |
| 
					10954 Emerald Rock Ln, Mechanicsville, VA 23116-5865  | |
| (757) 585-3441 | |
| Not Available | 
| Full Name | Meredith Martin | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 10954 Emerald Rock Ln, Mechanicsville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184344236 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary | 
| Provider Name | Smart Nutrition, Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1629548086 PECOS PAC ID: 7315284965 Enrollment ID: O20190122000001  | 
| Provider Name | Kab Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1376264747 PECOS PAC ID: 2769859362 Enrollment ID: O20221111000720  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Meredith Martin, 1309 Jamestown Rd Ste 102, Williamsburg, VA 23185-3380 Ph: (757) 585-3441  | Meredith Martin, 10954 Emerald Rock Ln, Mechanicsville, VA 23116-5865 Ph: (757) 585-3441  | 
Shanta Dayjah Jackson, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 8266 Atlee Rd Ste 215, Mechanicsville, VA 23116 Phone: 804-248-3878  | |
Jennifer Herman Rabung, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9331 Crestfield Dr, Mechanicsville, VA 23116 Phone: 804-359-1155  | |
Petya Ellison, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9044 Spring Green Loop, Mechanicsville, VA 23116 Phone: 224-795-0014  | |
Curtis Aaron Hinterberger-korn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8161 Creekside Village Dr, Mechanicsville, VA 23111 Phone: 724-355-6036  | |
Mrs. Leann Watson Morales, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8220 Meadowbridge Rd Ste 305, Mechanicsville, VA 23116 Phone: 804-287-4588 Fax: 804-287-4588  | |
Kiya Rivera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd Ste 305, Mechanicsville, VA 23116 Phone: 804-287-4590  |