Organization
MELVIN D THORNBURY JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN DELAINE THORNBURY JR. M.D. (M.D.)
(256) 840-4520
Entity
Organization
Contact information
Practice address
2525 US HIGHWAY 431, SUITE 220, BOAZ, AL 35957-5934
(256) 840-4520
(256) 840-4527
Mailing address
2525 US HIGHWAY 431, SUITE 220, BOAZ, AL 35957-5967
(256) 840-4520
(256) 840-4527
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
14828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51550422
BLUE CROSS BLUE SHIELD
AL
05
—
51550422
—
AL
Enumeration date
11/09/2011
Last updated
11/09/2011
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