Individual
DR. TAMI M THORNBERRY KIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
165 JUNIPER CIRCLE, BRUNSWICK, GA 31520
(912) 554-4552
(912) 554-0343
Mailing address
165 JUNIPER CIRCLE, BRUNSWICK, GA 31520
(912) 554-4552
(912) 554-0343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000654783D
—
GA
Enumeration date
12/01/2006
Last updated
07/13/2011
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