Individual
MRS. CORA MAE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901-5108
(706) 724-8611
(706) 724-6202
Mailing address
PO BOX 925, AUGUSTA, GA 30903-0925
(706) 854-6008
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NCO-000003
GA
363LF0000X
Family Nurse Practitioner
Primary
RN054075
GA
Other
Enumeration date
04/05/2022
Last updated
07/11/2022
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