Martin Army Community Hosptial

Primary specialty

Military HospitalTaxonomy code 286500000X

License

LD002620 Issued in GA

Legal business name

MARTIN ARMY COMMUNITY HOSPTIAL

Practice address

496 Mill Pond Drive
Phenix City, AL 36867

Phone

(334) 289-9578

NPI assigned

Oct 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jennifer Christin Wicker, R.D, L.D

Title

Outpatient Registered Dietitian

Phone

(706) 544-3856

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902982325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-3856",
            "fax_number": "706-544-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 MILL POND DRIVE",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36867",
            "telephone_number": "334-289-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ARMY COMMUNITY HOSPTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTIN",
        "authorized_official_title_or_position": "OUTPATIENT REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "706-544-3856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D, L.D"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "LD002620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lyons-Stovall
• Nancy R Machado, LMT
• William T Maggart, PT
• Inna Majdalani
• Rose Ann Manasan, DMD
• Martin Family Care (Glenn's Pharmacy)
• Mary Edna Wanda Martin, LCSW
• Ricardo Martin
• Victoria Martinec, RDH
• Jennifer Nataly Martinez

• Military Hospital in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Military Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.