VIVIAN S. FONTENOT

ATLANTA, GA
NPI1013212828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN180376)
Enumeration Date2011-01-26
Last Update Date2011-01-26
Business Address
-- VIVIAN S. FONTENOT CRNA
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 770-645-9181
Mailing Address
-- VIVIAN S. FONTENOT CRNA
3155 N POINT PKWY BUILDING F, SUITE 100
ALPHARETTA, GA 30005-5481
Phone number: 770-645-9181