Individual
MR. DEANDREA THORNTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSCS
Contact information
Practice address
1525 SENOIA RD STE D, TYRONE, GA 30290-3602
(770) 861-4321
Mailing address
5735 UNION POINTE DR, UNION CITY, GA 30291-1648
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
7248208737
GA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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