# SUPERIOR HEALTHCARE OF CANTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619350329
- **Authorized official:** MRS. JULIA MCCLELLAN THORNE NP (OWNER)
- **Authorized official phone:** (770) 345-9600

## Contact information

- **Practice address:** 2050 CUMMING HWY, SUITE 100, CANTON, GA 30115-2314
- **Practice address phone:** (770) 345-9600
- **Practice address fax:** (770) 345-9611
- **Mailing address:** 2050 CUMMING HWY, SUITE 100, CANTON, GA 30115-2314
- **Mailing address phone:** (770) 345-9600
- **Mailing address fax:** (770) 345-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 14936 | GA | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 10/06/2015