LISA VIVIENNE POLING

KENNESAW, GA
NPI1003050576
Former NameLISA VIVIENNE MELNICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN067035NP)
Enumeration Date2009-04-28
Last Update Date2016-12-12
Business Address
-- LISA VIVIENNE POLING NP
1000 CHASTAIN RD NW
KENNESAW, GA 30144-5588
Phone number: 678-797-2844
Mailing Address
-- LISA VIVIENNE POLING NP
1000 CHASTAIN RD NW
KENNESAW, GA 30144-5588
Phone number: 678-797-2844
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