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Individual

TODD ELLIOTT THURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-6945
(706) 721-6931
Mailing address
1467 HARPER ST, HB 5045, AUGUSTA, GA 30912-0001
(706) 721-6945

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
77567
GA
208200000X
Plastic Surgery Physician
MD0000055433
TN
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
77567
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
77567
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD0000055433
TN
390200000X
Student in an Organized Health Care Education/Training Program
4301108131
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q027474
TN
Enumeration date
06/02/2009
Last updated
06/18/2026
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