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Organization
THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC
Active
Organization
THRIVE PEDIATRIC NUTRITION SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALI HOWARD ELLIOTT MS, RDN, LD, CLC (REGISTERED DIETITIAN)
(205) 704-1641
Entity
Organization
Contact information
Practice address
200 OFFICE PARK DR STE 205, MOUNTAIN BRK, AL 35223-2455
(205) 704-1641
Mailing address
2925 VIRGINIA RD, MOUNTAIN BRK, AL 35223-1253
(205) 704-1641
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1814
AL
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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