DEAN E. THORNTON, DC, PC
Ambulatory Health at Stephenson St, Waycross, GA

License number
Georgia CHIR006348
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DEAN EDWARD THORNTON DC
Title: PRESIDENT
Phone: (912) 283-6043
Address
Address
401 Stephenson St, Waycross, GA 31501
National Provider ID: 1063672459
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DEAN E. THORNTON, DC, PC

401 Stephenson St, Waycross, GA 31501

Registration:
Sep 19, 2002
State ID:
0248054
Business type:
Domestic Professional Corporation
CEO:
E. Dean Thornton (CEO), 401 Stephenson St, Waycross, GA 31501 (Physical)
Agent:
Dean E. Thornton,401 Stephenson St, Waycross, GA 31501 (Physical)

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