Individual
GARY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-6818
(870) 739-1970
Mailing address
3913 AUDUBON RIDGE BND, BARTLETT, TN 38135-1552
(901) 380-1773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R69105
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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