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Individual

DR. WILLIAM FRANK THORNELOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4015 S COBB DR SE STE 270, SMYRNA, GA 30080-6375
(770) 434-0677
(770) 434-3911
Mailing address
4015 S COBB DR SE STE 270, SMYRNA, GA 30080-6375
(770) 434-0677
(770) 434-3911

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
23119
GA
2084F0202X
Forensic Psychiatry Physician
8447
AL
2084P0800X
Psychiatry Physician
Primary
23119
GA
2084P0800X
Psychiatry Physician
8447
AL
2084P0805X
Geriatric Psychiatry Physician
023119
GA
2084P0805X
Geriatric Psychiatry Physician
8447
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000246716B
GA
Enumeration date
09/20/2006
Last updated
09/19/2011
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