Individual
DEBORAH MCCORKLE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
146 PAMPAS DR, POOLER, GA 31322-4030
(912) 450-2202
Mailing address
146 PAMPAS DR, POOLER, GA 31322-4030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002895
GA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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