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NPI Code Detail

MEDICARE: ELIZABETH THORNTON MS

MEDICARE: ELIZABETH THORNTON MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist11606NC
2235Z00000XSpeech-Language Pathologist6709TN

General Provider Information

NPI Number : 1578988523
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH THORNTON MS
Provider Business Mailing Address
First Line : 310 CORPORATE DR STE 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4638
Country : US
Telephone Number : 312-479-3708
Fax Number : 865-769-0801
Provider Business Practice Location Address
First Line : 310 CORPORATE DR STE 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4638
Country : US
Telephone Number : 312-479-3708
Fax Number : 865-769-0801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 02/10/2020

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Directions to “ ELIZABETH THORNTON MS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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