Doctor Name: | JULIA MCCLELLAN THORNE |
NPI Number: | 1013227719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | RN207895 |
Business Practice Address: | 2050 Cumming Hwy Suite 100 Canton, GA - 301152314 |
Business Phone Number: | 7703459600 |
Business Fax Number: | 7703459611 |
Mailing Address: | 2050 Cumming Highway, Suite 100 CANTON |
State: | GA |
Postal Code: | 30115 |
Phone Number: | 7703459600 |
Fax Number: | 7703459611 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN207895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |