Individual
CHARLES THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-4131
Mailing address
1800 AL HIGHWAY 157 STE 303, CULLMAN, AL 35058-1273
(256) 775-1090
(256) 736-6228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-113277
AL
Other
Enumeration date
06/13/2015
Last updated
06/26/2015
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