Individual
DR. CHRISTA MARIE THORNBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3013 KENSINGTON AVE, RICHMOND, VA 23221-2420
(314) 888-5233
(276) 835-4697
Mailing address
3013 KENSINGTON AVE, RICHMOND, VA 23221-2420
(143) 888-5233
(276) 835-4697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101 057666
VA
208000000X
Pediatrics Physician
Primary
D85301
MD
208M00000X
Hospitalist Physician
D85301
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136847
BLUE CROSS
VA
05
—
6737111
—
VA
Enumeration date
11/21/2005
Last updated
04/15/2024
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