Doctor Name: | MRS. SHAYNA JEANNE KOMAR |
NPI Number: | 1356358956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LD |
License Number: | LD002390 |
Business Practice Address: | 980 Johnson Ferry Rd Ne Suite 900 Atlanta, GA - 303421626 |
Business Phone Number: | 6784204123 |
Business Fax Number: | 6784204261 |
Mailing Address: | 296 Pocono Ct Nw, MARIETTA |
State: | GA |
Postal Code: | 300641067 |
Phone Number: | 6787979056 |
Fax Number: | 6784294261 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |