Individual
SHANA ALAINE SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
541 HISTORIC HWY 441 NORTH, DEMOREST, GA 30535
(706) 754-3113
Mailing address
372 HABERSHAM HILLS CIR, # 105, CORNELIA, GA 30531-5319
(706) 499-7189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002781
GA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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