Individual
LEE KINSEY THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 HIGHWAY 39 N BLDG C, MERIDIAN, MS 39301-1078
(601) 693-7742
(601) 693-7758
Mailing address
1200 22ND AVE, MERIDIAN, MS 39301-4009
(601) 693-7742
(601) 693-7758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15860
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120287
—
MS
Enumeration date
09/20/2006
Last updated
05/12/2020
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