Provider Demographics
NPI:1124829296
Name:MARTINEZ GERMOSEN, RACHAEL (RDN)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:MARTINEZ GERMOSEN
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 REISLING DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-2707
Mailing Address - Country:US
Mailing Address - Phone:678-267-5316
Mailing Address - Fax:
Practice Address - Street 1:424 REISLING DR
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-2707
Practice Address - Country:US
Practice Address - Phone:678-267-5316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty