Individual
DR. LAVON THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 MCCRARY RD, FORTSON, GA 31808-4558
(706) 987-8216
(706) 987-8220
Mailing address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 322-9567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000225607I
—
GA
Enumeration date
12/01/2006
Last updated
01/09/2014
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