Individual
MAYGEN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 OLD REYNOLDS ST, WAYCROSS, GA 31501-1036
(912) 283-1359
Mailing address
309 LAMPLIGHTER LN, WAYCROSS, GA 31503-8489
(912) 281-6521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN287068
GA
Other
Enumeration date
04/09/2025
Last updated
08/14/2025
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