Organization
THORNTON PULMONOLOGY & CRITICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL JASON THORNTON MD (OWNER)
(786) 205-0346
Entity
Organization
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 504-4651
(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
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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