Doctor Name: | DR. DIANA L. THORNE |
NPI Number: | 1275643538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 21703 |
Business Practice Address: | 6439 Garners Ferry Rd Columbia, SC - 292091638 |
Business Phone Number: | 8037764000 |
Business Fax Number: | 8036956891 |
Mailing Address: | 11 Kirkman Ct., COLUMBIA |
State: | SC |
Postal Code: | 29209 |
Phone Number: | 8036470041 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 21703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |