Martha Ross Hamilton, RD
Individual provider Active NPI Registered Dietitian · Jackson, MS
NPI 1881785129 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881785129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 599604
- Practice address
- 1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116 - Phone
- (601) 362-4471
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 599604 | Yes |
Addresses
Primary practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Mailing address
416 Saint Augustine Dr
Madison, MS 39110-9602
Phone (601) 362-4471
Other providers in Jackson, MS
- Brian Schertz Hamilton
- Brittany Charmaine Hamilton
- James Howard Hamilton IV
- Karen Hamilton
- Keona Hamilton
- Robert D. Hamilton
- Thomas Boyce Hamilton Jr.
- Shemeka Renea Hamlin-Palmer
- Charles Robert Hamm
- Jill Annette Hammack
All providers in Jackson, MS · Registered Dietitian in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.