MEDICARE: DR. ROBERT DRUMMOND THORNTON II M.D.

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
1	207L00000X	Anesthesiology Physician	27462	AL
2	207L00000X	Anesthesiology Physician	39310	TN

General Provider Information

NPI Number	:	1871657411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DRUMMOND THORNTON II M.D.

Provider Business Mailing Address
First Line	:	3606 EVEREST CT
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3342
Country	:	US
Telephone Number	:	334-270-0301
Fax Number	:	334-270-0301

Provider Business Practice Location Address
First Line	:	3606 EVEREST CT
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3342
Country	:	US
Telephone Number	:	334-270-0301
Fax Number	:	334-270-0301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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