Shirleen Crocker in Thomaston - Nutrition, Education

Shirleen Crocker - NPI 1639164759

Shirleen Crocker is a Nutrition, Education in Thomaston, Georgia. Shirleen Crocker practices all healthcare services and medical treatments related to Nutrition, Education. The NPI Number for Shirleen Crocker is 1639164759. The last update date is 2007-07-08.

Shirleen Crocker's current location address is 314 E Lee St, Thomaston, Georgia. You can contact this provider via phone number 7066477148 and fax number 7066473372. The mailing address for Shirleen Crocker is 314 E Lee St, Thomaston, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirleen Crocker
Address 314 E Lee St, Thomaston, Georgia
Phone Number 7066477148
Fax Number 7066473372
Sole Proprietor X
Credentials L.D.

NPI Number Detail

NPI Number 1639164759
Provider Enumeration Date 2005-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 314 E Lee St
City Thomaston
State Georgia (GA)
Post Code 302864122
Phone Number 7066477148
Fax Number 7066473372

Provider's Primary Taxonomy Detail

Speciality Nutrition, Education
Taxonomy 133Nn1002X
Licence No LD001487
Definition:
A nutritionist who educates people about nutrition and healthy eating.

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FAQs about Shirleen Crocker

What is the unique identifier code issued to Shirleen Crocker by the Centers for Medicare & Medicaid Services?

The Shirleen Crocker has been assigned the NPI (National Provider Identifier) 1639164759. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Shirleen Crocker?

The Shirleen Crocker is situated at 314 E Lee St, in the city of Thomaston, state of GA, with the zip code 302864122.

What is Shirleen Crocker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shirleen Crocker's specialized field of practice is Nutrition, Education, and the corresponding taxonomy code that categorizes this area of specialization is 133Nn1002X.

When did the Shirleen Crocker receive its 1639164759?

The Shirleen Crocker was issued its 1639164759 on 2005-09-14, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Shirleen Crocker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shirleen Crocker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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