Individual
MRS. SHAYNA JEANNE KOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 900, ATLANTA, GA 30342-1626
(678) 420-4123
(678) 420-4261
Mailing address
296 POCONO CT NW, MARIETTA, GA 30064-1067
(678) 797-9056
(678) 429-4261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002390
GA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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