Organization
NEW IMAGE WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER THRASHER (OWNER)
(256) 438-5839
Entity
Organization
Contact information
Practice address
1956 RAINBOW DR, GADSDEN, AL 35901-5567
(256) 438-5839
(256) 467-3130
Mailing address
1956 RAINBOW DR, GADSDEN, AL 35901-5567
(256) 438-5839
(256) 467-3130
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
905
AL
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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