Dean Edward Thornton, DC
Individual provider Active NPI Chiropractor · Waycross, GA
NPI 1891801940 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891801940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR006348 (GA)
- Practice address
- 401 Stephenson St
Waycross, GA 31501-2244 - Phone
- (912) 283-6043
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006348 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean E. Thornton, DC, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR006348 | GA | Yes |
Addresses
Primary practice location
401 Stephenson St
Waycross, GA 31501-2244
Mailing address
401 Stephenson St
Waycross, GA 31501-2244
Phone (912) 283-6043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35055377 | Other | GA | RAILROAD MEDICARE |
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.