Thorneloe, William Frank

Thorneloe, William Frank is an sole proprietor health care provider with primary practice located at 4015 S Cobb Dr Se Ste 270 , Smyrna GA 30080-6375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Thorneloe, William Frank can be contacted via phone (770) 434-0677.

Contact Information

Primary practice address
4015 S Cobb Dr Se Ste 270 Smyrna GA 30080-6375
Fax: (770) 434-3911
Website:

Profile Details

NPI number 1932207123
LBN Legal business name Thorneloe, William Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Sep 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932207123 NPPES
Georgia MEDICAID 000246716B

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