Individual
DR. NEELY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 WHITLOCK AVE SW, SUITE C25, MARIETTA, GA 30064-3000
(770) 422-7727
(770) 427-8009
Mailing address
707 WHITLOCK AVE SW, SUITE C25, MARIETTA, GA 30064-3000
(770) 422-7727
(770) 427-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637805711F
—
GA
Enumeration date
11/01/2006
Last updated
05/04/2015
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