Individual
MR. DAVID LAMONT THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA/PA
Contact information
Practice address
727 KENNOLIA DR SW, ATLANTA, GA 30310-2329
(404) 447-8534
Mailing address
727 KENNOLIA DR SW, ATLANTA, GA 30310-2329
(404) 447-8534
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13511
—
GA
Enumeration date
09/08/2016
Last updated
09/08/2016
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