Individual
PAMELA SUZANNE CRUTSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004482
GA
Other
Enumeration date
06/20/2016
Last updated
08/11/2020
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