Crocker, Shirleen
Crocker, Shirleen is an individual health care provider with primary practice located at 314 E Lee St , Thomaston GA 30286-4122. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Crocker, Shirleen can be contacted via phone (706) 647-7148.Contact Information
Primary practice address
314 E Lee St
Thomaston GA 30286-4122
Phone: (706) 647-7148
Fax: (706) 647-3372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | LD001487 | Georgia |
Profile Details
| NPI number | 1639164759 |
|---|---|
| LBN Legal business name | Crocker, Shirleen |
| Credentials | L.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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