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Individual
CHARLOTTE LYNN THORNTON
Active
Individual
CHARLOTTE LYNN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101231111
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730157025
—
VA
01
—
P01202923
RAILROAD MEDICARE
VA
Enumeration date
03/10/2006
Last updated
09/27/2013
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