Individual
BRANDON THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
368 FABRITEK DR, COLUMBUS, MS 39702-9299
(601) 513-3123
Mailing address
368 FABRITEK DR, COLUMBUS, MS 39702-9299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
247691
LA
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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