Thornton Dietitian Consultants

NPI 1215294988 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1215294988
Enumeration Date 04/18/2012
Last Updated 04/18/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHARON BLACKWELL SHARON
Position REGISTERED DIETITIAN
Phone (731) 676-0793
Fax
Practice Location
36 SANDSTONE CIR
SUITE E
JACKSON TN, 38305-2098, US
Phone (731) 676-0793
Fax
Business Location
36 SANDSTONE CIR
SUITE E
JACKSON TN, 38305-2098, US
Phone (731) 676-0793
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Tennessee
License Number 1348
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According to our database, Thornton Dietitian Consultants NPI is 1215294988, taxonomy code is 133V00000X and license number is 1348, license state is located at Tennessee. Thornton Dietitian Consultants physically located at 36 Sandstone Cir, Jackson TN, 38305-2098. NPI Number 1033115704 has the healthcare provider type.

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1215294988 NPI number is provided on an as is basis without warranty of any kind. 1215294988 is maintained by the National Plan & Provider Enumeration System. The contents of Thornton Dietitian Consultants are for informational purposes only.