Provider Demographics
NPI:1336469295
Name:THORNTON, ANDREW HOLDING (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HOLDING
Last Name:THORNTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1120 WELLSTAR WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8952
Mailing Address - Country:US
Mailing Address - Phone:678-494-2500
Mailing Address - Fax:678-494-2629
Practice Address - Street 1:1120 WELLSTAR WAY STE 105
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30114-8952
Practice Address - Country:US
Practice Address - Phone:678-494-2500
Practice Address - Fax:678-494-2629
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201301495207Q00000X
GA92116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine