Individual
MRS. DIANA SCOTT THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
80 VININGS DR, MCDONOUGH, GA 30253-5994
(770) 302-6780
(678) 782-3776
Mailing address
290 COUNTRY CLUB DR, SUITE 220, STOCKBRIDGE, GA 30281-9069
(770) 302-6780
(678) 782-3776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01257103
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
11/28/2006
Last updated
06/23/2016
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