Individual
SYLVESTER LEWIS THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 645-0275
Mailing address
PO BOX 2053, CLARKSDALE, MS 38614-8053
(662) 645-0275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904131
MS
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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