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Individual
SHANNON MARIE SCOTT
Active
Individual
SHANNON MARIE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2326
TN
133N00000X
Nutritionist
D1440
MS
133V00000X
Registered Dietitian
2326
TN
133V00000X
Registered Dietitian
Primary
D1440
MS
Other
Enumeration date
07/12/2011
Last updated
01/02/2014
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