Individual
JESSE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
Mailing address
3833 UKRAINE DR, COLUMBUS, GA 31906-4635
(706) 718-2035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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