Provider Demographics
NPI:1669427340
Name:THORNTON, ANTHONY J (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:THORNTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:275 CUMBERLAND BND
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1805
Mailing Address - Country:US
Mailing Address - Phone:615-726-3340
Mailing Address - Fax:615-743-1679
Practice Address - Street 1:275 CUMBERLAND BND
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1805
Practice Address - Country:US
Practice Address - Phone:866-816-0433
Practice Address - Fax:615-743-1679
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN565472084P0800X
RIMD096382084P0800X
VA01010434682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30614-0OtherBLUECROSS BLUE SHIELD
RI1020890OtherBEACON PROVIDER NUMBER
RI15-45015OtherUNITED BEHAV. HEALTH
RIRI0006018OtherCHAMPUS
RI7006058Medicaid
RI404015OtherBLUE CHIP OF RI
RI7006058Medicaid
RI30614-0OtherBLUECROSS BLUE SHIELD