| NPI | 1215294988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BLACKWELL THORNTON Registered Dietitian 731-676-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 1348) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |