Provider Demographics
NPI:1639692023
Name:MARTINEZ, KARI (MS, RD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5521 N PEACHTREE RD
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3105
Mailing Address - Country:US
Mailing Address - Phone:678-205-6784
Mailing Address - Fax:
Practice Address - Street 1:5521 N PEACHTREE RD
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-3105
Practice Address - Country:US
Practice Address - Phone:678-205-6784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86048590133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered