Vivian S. Fontenot CRNA

NPI 1013212828 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1013212828
Gender Female
Enumeration Date 01/26/2011
Last Updated 01/26/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1000 JOHNSON FERRY RD NE
ATLANTA GA, 30342-1606, US
Phone (770) 645-9181
Fax (770) 645-8455
Business Location
3155 N POINT PKWY
BUILDING F, SUITE 100
ALPHARETTA GA, 30005-5481, US
Phone (770) 645-9181
Fax (770) 645-8455
Toxanomy
Taxonomy Code 367500000X
License State Georgia
License Number RN180376
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According to our database, Vivian S. Fontenot CRNA NPI is 1013212828, taxonomy code is 367500000X and license number is RN180376, license state is located at Georgia. Vivian S. Fontenot CRNA physically located at 1000 Johnson Ferry Rd Ne, Atlanta GA, 30342-1606. NPI Number Vivian S. Fontenot CRNA has the Individual type.

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1013212828 NPI number is provided on an as is basis without warranty of any kind. 1013212828 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian S. Fontenot CRNA are for informational purposes only.