Individual
GABRIEL THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-6661
(706) 504-4639
Mailing address
3614 J DEWEY GRAY CIR STE B, AUGUSTA, GA 30909-6512
(706) 504-4651
(706) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
82608
GA
207RP1001X
Pulmonary Disease Physician
82608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218677B
—
GA
05
—
GPB283
—
SC
Enumeration date
03/16/2013
Last updated
02/10/2020
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