Individual
DR. HEATH CRUMPLER THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-0071
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200300418
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2003-00418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137G8
BCBS
NC
01
—
7961630
AETNA
NC
01
—
807292
PARTNERS
NC
05
—
89137G8
—
NC
01
—
D6223
MEDCOST
NC
05
—
Q0041E
—
SC
Enumeration date
11/30/2005
Last updated
04/24/2019
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