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Individual

ROBERT THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 783-0200
(478) 783-0802
Mailing address
222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 783-0200
(478) 783-0802

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN127449
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000699014C
GA
Enumeration date
06/20/2005
Last updated
09/09/2009
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