| NPI Details | |
|---|---|
| NPI | 1003296450 |
| Gender | Female |
| Enumeration Date | 06/01/2015 |
| Last Updated | 06/01/2015 |
| Entity Type | Individual |
| Active | Over 2 years ago |
| Practice Location | |
|---|---|
| 1355 TERRELL MILL RD SE BLDG. 1460 SUITE 205 MARIETTA GA, 30067-5496, US |
|
| Phone | (404) 439-9981 |
| Fax | |
| Business Location | |
|---|---|
| 1355 TERRELL MILL RD SE BLDG. 1460 SUITE 205 MARIETTA GA, 30067-5496, US |
|
| Phone | (404) 439-9981 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YP2500X |
| License State | Georgia |
| License Number | LPC00826 |
| Remove 1003296450 NPI Number | |
According to our database, Vanessa Desir NPI is 1003296450, taxonomy code is 101YP2500X and license number is LPC00826, license state is located at Georgia. Vanessa Desir physically located at 1355 Terrell Mill Rd Se, Marietta GA, 30067-5496. NPI Number Vanessa Desir has the Individual type.
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1003296450 NPI number is provided on an as is basis without warranty of any kind. 1003296450 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Desir are for informational purposes only.
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