Individual
DR. JAMES THOMAS THORNBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(703) 799-2762
Mailing address
6319 BANNOCKBURN DR, BETHESDA, MD 20817-5403
(703) 799-2762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047900
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945107
—
VA
Enumeration date
11/30/2006
Last updated
07/08/2007
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