Crystal Marie Shores, RD, LD - Dietitian in Marietta, GA

Crystal Marie Shores, RD, LD is a Dietitian, Registered based in Marietta, Georgia. Crystal Marie Shores is licensed to practice in Georgia (license number LD003806) and her current practice location is 5150 Davidson Road, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 209-8976.

NPI number for Crystal Marie Shores is 1629348727 and her current mailing address is 4880 Lower Roswell Rd, Suite 165-142, Marietta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629348727.

Contact Information

Crystal Marie Shores, RD, LD
5150 Davidson Road,
Marietta, GA 30068
(678) 209-8976
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCrystal Marie Shores
GenderFemale
SpecialityDietitian, Registered
Location5150 Davidson Road, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629348727
  • Provider Enumeration Date: 01/05/2012
  • Last Update Date: 01/05/2012

Medical Identifiers

Medical identifiers for Crystal Marie Shores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629348727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD003806 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Marie Shores is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
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

Reviews and Comments


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