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1740513852 NPI number — CARLTON EUGENE THORNE SR. 00101781

NPI Number: 1740513852
Health Care Provider/Practitioner: CARLTON EUGENE THORNE SR. 00101781

Information about “1740513852” NPI (CARLTON EUGENE THORNE SR. 00101781) exists in 1740513852 in HTML format HTML  |  1740513852 in plain Text format TXT  |  1740513852 in PDF (Portable Document Format) PDF  |  1740513852 in an XML format XML  formats.

NPI Number : 1740513852 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740513852",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THORNE",
    "FirstName": "CARLTON",
    "MiddleName": "EUGENE",
    "NamePrefix": "MR.",
    "NameSuffix": "SR.",
    "Credential": "00101781",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2675 N MARTIN ST",
    "SecondLineMailingAddress": "BLDG. 700, SUITE A",
    "MailingAddressCityName": "EAST POINT",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30344-6981",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-321-6111",
    "MailingAddressFaxNumber": "404-327-4028",
    "FirstLinePracticeLocationAddress": "2675 N MARTIN ST",
    "SecondLinePracticeLocationAddress": "BLDG. 700, SUITE A",
    "PracticeLocationAddressCityName": "EAST POINT",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30344-6981",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-321-6111",
    "PracticeLocationAddressFaxNumber": "404-327-4028",
    "EnumerationDate": "09/09/2009",
    "LastUpdateDate": "09/09/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "00101781",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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