Theodora Lane Vaile N.P.

NPI 1205163797 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1205163797
Gender Female
Enumeration Date 11/04/2009
Last Updated 11/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
325 CANDLER RD SE
ATLANTA GA, 30317-3433, US
Phone (404) 288-2273
Fax
Business Location
325 CANDLER RD SE
ATLANTA GA, 30317-3433, US
Phone (404) 288-2273
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RNO77746
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According to our database, Ms. Theodora Lane Vaile N.P. NPI is 1205163797, taxonomy code is 363LF0000X and license number is RNO77746, license state is located at Georgia. Theodora Lane Vaile N.P. physically located at 325 Candler Rd Se, Atlanta GA, 30317-3433. NPI Number Theodora Lane Vaile N.P. has the Individual type.

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1205163797 NPI number is provided on an as is basis without warranty of any kind. 1205163797 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora Lane Vaile N.P. are for informational purposes only.