| NPI | 1700183407 |
|---|---|
| Doing Business As | SPN HERBS |
| Entity Type | Organization |
| Authorized Contact | EILEEN A FORRESTER-THORNE Clinical Nutritionist 770-507-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |