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Crystal Shores, RD, LD

NPI 1629348727 · on the registry since 2012 · sole proprietor

Practice

Address
5150 Davidson Road
Marietta, GA 30068
Phone
(678) 209-8976

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia