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Individual

DR. GARY LEE THORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
517 BEAUMONT RD, FAYETTEVILLE, NC 28304-4424
(910) 323-5522
(910) 483-9497
Mailing address
517 BEAUMONT RD, FAYETTEVILLE, NC 28304-4424
(910) 323-5522
(910) 483-9497

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1753
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013GN
BCBS GROUP
NC
01
08878
BLUE CROSS BLUE SHIELD
NC
05
89013GN
NC
05
8908878
NC
Enumeration date
11/18/2005
Last updated
03/14/2014
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