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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