Individual
GARLAND M THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2523 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701
(479) 442-2822
(479) 582-1754
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7980
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123483001
—
AR
01
—
5J084
AR BC/BS
AR
01
—
P00185214
RR MCR
AR
Enumeration date
06/22/2006
Last updated
08/15/2024
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