Individual
MRS. ANGELA AUTUMN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2805 HAMILTON MILL RD, BUFORD, GA 30519-4110
(678) 541-0588
Mailing address
2805 HAMILTON MILL RD, BUFORD, GA 30519-4110
(706) 248-3703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN214508
GA
Other
Enumeration date
10/03/2015
Last updated
10/09/2015
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