| NPI | 1922237270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW THORNTON Nurse Practitioner 678-761-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN166395-NP) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |