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Individual

JOHN THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-2426
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-8401

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
029542
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000373865D
GA
05
132065
GA
Enumeration date
10/02/2006
Last updated
10/29/2012
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