Shores, Crystal Marie

Shores, Crystal Marie is an sole proprietor health care provider with primary practice located at 5150 Davidson Road , Marietta GA 30068. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Shores, Crystal Marie can be contacted via phone (678) 209-8976.

Contact Information

Primary practice address
5150 Davidson Road Marietta GA 30068
Phone: (678) 209-8976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003806 Georgia

Profile Details

NPI number 1629348727
LBN Legal business name Shores, Crystal Marie
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2012
Last updated Jan 5th, 2012 - about 13 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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