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Organization
LIGHTHOUSE PSYCH CONSULTING
Active
Organization
LIGHTHOUSE PSYCH CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANDREW THORNTON APRN-BC (NURSE PRACTITIONER)
(678) 761-4106
Entity
Organization
Contact information
Practice address
1601 WEHUNT PL SE, SMYRNA, GA 30082-4845
(678) 761-4106
Mailing address
1601 WEHUNT PL SE, SMYRNA, GA 30082-4845
(678) 761-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN166395-NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269139867B
—
GA
Enumeration date
07/08/2009
Last updated
07/08/2009
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