Healthcare Provider Details

I. General information

NPI: 1851808455
Provider Name (Legal Business Name): DAVID SPENCER THORNTON D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7003 CHADWICK DR STE 232
BRENTWOOD TN
37027-3224
US

IV. Provider business mailing address

1501 CLIFTON LN
NASHVILLE TN
37215-1617
US

V. Phone/Fax

Practice location:
  • Phone: 615-289-6546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: