Crystal Marie Shores, RD, LD | |
5150 Davidson Road, Marietta, GA 30068 | |
(678) 209-8976 | |
Not Available |
Full Name | Crystal Marie Shores |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 5150 Davidson Road, Marietta, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629348727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD003806 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Crystal Marie Shores, RD, LD 4880 Lower Roswell Rd, Suite 165-142, Marietta, GA 30068-4375 Ph: (678) 209-8976 | Crystal Marie Shores, RD, LD 5150 Davidson Road, Marietta, GA 30068 Ph: (678) 209-8976 |
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