Individual
DR. CHRISTINE W THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. O
Contact information
Practice address
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471-3472
(985) 626-1717
Mailing address
201 SAINT ANN DR STE B, MANDEVILLE, LA 70471-3472
(985) 626-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
323614
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323614
LA LICENSE
LA
Enumeration date
06/30/2011
Last updated
10/07/2020
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