Individual
MICHAEL C THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8 CITY BLVD STE 300, NASHVILLE, TN 37209-2560
(615) 329-6600
(615) 321-6226
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5783
TN
363AS0400X
Surgical Physician Assistant
PA.0003671
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92883036
—
CO
01
—
P01304919
RR MEDICARE
CO
Enumeration date
02/27/2006
Last updated
11/26/2024
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