Crystal Thornton (NPI# 1932339215, PAC ID# 0941503437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932339215 |
| PAC ID by PECOS | 0941503437 |
| Professional Enrollment ID | I20160115001045 |
| Full Name | Crystal Thornton |
| Organization Legal Name | AZALEA SKIN TREATMENT CENTER PA |
| Address |
501 Health Park Dr Suite 150 Garner NC 27529-6936 |
| Phone Number | 9197723487 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557336476 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 | 9197723487 | AZALEA SKIN TREATMENT CENTER PA |
| 501 Health Park Dr, Suite 150, Garner, NC 27529-7051 | 9197723487 | SOUTHERN DERMATOLOGY PA |
| Organization Legal Name | AZALEA SKIN TREATMENT CENTER PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Stewart Ketcham | Dermatology | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Cathy Poole | Nurse Practitioner | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Shelley Bunting | Nurse Practitioner | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Street Address |
501 HEALTH PARK DR SUITE 150 |
| City | GARNER |
| State | NC |
| Zip | 27529-6936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Stewart Ketcham | Dermatology | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Cathy Poole | Nurse Practitioner | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Shelley Bunting | Nurse Practitioner | Azalea Skin Treatment Center Pa | 501 Health Park Dr, Suite 150, Garner, NC 27529-6936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlo R Watson | Clinical Social Worker | 5533 Hwy 42 W, Unit 4a 4, Garner, NC 27529 | |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| William J Jackson | Chiropractic | 260 Hwy 70w, Garner, NC 27529 | |
| Jodi Lynn Miller | Family Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Humayun M Kadir | Family Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Anomis D Dula | Audiologist | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Catherine S Glazer | Emergency Medicine | Wakemed Specialists Group, LLC | 811 Us 70 Hwy W, Garner, NC 27529-2541 |
| Patrick Wayne Donahue | Family Medicine | Wakemed Specialists Group, LLC | 811 Us 70 Hwy W, Garner, NC 27529-2541 |
| Hannah E Boghosian | Physician Assistant | Rex Hospital Inc | 1165 Us Hwy 70 W, Garner, NC 27529-2547 |
| Alexandra Kilraine Kaznowski | Physician Assistant | Rex Hospital Inc | 1165 Us Hwy 70 W, Garner, NC 27529-2547 |
| Find all physicians in zip 27529 | |||
| City | GARNER |
| Zip Code | 27529 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARNER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal Thornton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.