Organization
SINGLE PARENTS NIA
Active
Other names
SPN Herbs
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. EILEEN A FORRESTER-THORNE (CLINICAL NUTRITIONIST)
(770) 507-2555
Entity
Organization
Contact information
Practice address
4822 N HENRY BLVD, STOCKBRIDGE, GA 30281-3556
(770) 507-2555
Mailing address
4822 N HENRY BLVD, STOCKBRIDGE, GA 30281-3556
(770) 507-2555
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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