Individual
ELIZABETH RENEE CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1582 N BROAD ST STE 2, TAZEWELL, TN 37879-4352
(865) 278-0254
Mailing address
1716 CINDY DR, GREENEVILLE, TN 37743-5806
(865) 278-0254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000003496
TN
133V00000X
Registered Dietitian
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Other
Enumeration date
03/23/2019
Last updated
12/14/2024
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