Provider Demographics
NPI:1669218939
Name:THORNTON, GILLIAN FRANCES (MMSC)
Entity type:Individual
Prefix:
First Name:GILLIAN
Middle Name:FRANCES
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 VIRGINIA AVE NE APT 2306
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3779
Mailing Address - Country:US
Mailing Address - Phone:480-646-6162
Mailing Address - Fax:
Practice Address - Street 1:1800 HOWELL MILL RD NW STE 625
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3185
Practice Address - Country:US
Practice Address - Phone:404-425-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA741170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS