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Contact Information

LEIA M THORNTON, PAC
2650 GUNTER PARK DRIVE EAST
MONTGOMERY, AL36109
 Phone: 334-523-6395
 Fax: 334-523-6390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LEIA M THORNTON · (Female)

NPI Number 1376597518
Status Active
Credentials PAC
Entity Individual
Enumeration date 05/20/2006
Last updated 08/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # PA435
  • AL Medicaid 009936221
  • FL Medicaid 1504297
  • MS Medicaid 06437010
  • AL Other 51533432 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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