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Individual

DONALD DAVIS THORNBURY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4294 LOMAC ST, MONTGOMERY, AL 36106-3604
(334) 274-8000
(334) 274-0857
Mailing address
PO BOX 235003, MONTGOMERY, AL 36123-5003
(334) 274-9000
(334) 274-0857

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9439
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000015122
AL
05
000032889
AL
05
000032890
AL
01
0910213
UNITED HEALTHCARE
01
200003492
RR MEDICARE
01
2002168
RR MEDICARE
01
4578111
AETNA
01
51015122
BLUE CROSS
01
51032889
BLUE CROSS
01
51032890
BLUE CROSS
01
550364
PRIME HEALTH
01
6451
NCC/TYNET
01
658397
FIRST HEALTH
Enumeration date
12/29/2005
Last updated
05/01/2017
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