Wachovia Thornton, LMFT is a
Marriage & Family Therapist based in Montezuma, Georgia. Wachovia Thornton is licensed to practice in Georgia (license number MFT001888) and her current practice location is
131 Dogwood Dr, Montezuma, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 244-2201.
NPI number for Wachovia Thornton is 1417625799 and her current mailing address is 131 Dogwood Dr, Montezuma, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417625799.
Healthcare Provider's Profile
Full Name | Wachovia Thornton |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 131 Dogwood Dr, Montezuma, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417625799
- Provider Enumeration Date: 09/01/2021
- Last Update Date: 08/26/2025
Medical Identifiers
Medical identifiers for Wachovia Thornton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417625799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT001888 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wachovia Thornton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wachovia Thornton, LMFT 131 Dogwood Dr, Montezuma, GA 31063-6303 Ph: (478) 244-2201 | Wachovia Thornton, LMFT 131 Dogwood Dr, Montezuma, GA 31063-6303 Ph: (478) 244-2201 |
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