Individual
CADY CROSCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
230 DIBBUNS DR, TOCCOA, GA 30577-6905
(770) 710-6869
Mailing address
PO BOX 822, TOCCOA, GA 30577-1413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN006628
PA
133V00000X
Registered Dietitian
Primary
LD005437
GA
Other
Enumeration date
11/07/2018
Last updated
11/14/2020
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