MS. SHIRLEEN CROCKER L.D. NPI 1639164759

NPI Information

  • NPI: 1639164759
  • Provider Name: MS. SHIRLEEN CROCKER, L.D.
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Individual
  • Address: 314 E LEE ST
    THOMASTON, GA
    ZIP 30286
  • Phone: (706) 647-7148

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NPI Details

MS. Shirleen Crocker, L.D. is a nutrition and education nutritionist in Thomaston, GA. MS. Shirleen Crocker, L.D. NPI is 1639164759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

314 E LEE ST
THOMASTON, GA
ZIP 30286-122
Phone: (706) 647-7148
Fax: (706) 647-3372

The enumeration date for this NPI number is 9/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, EducationLD001487GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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