VIVIAN ANN LANE SMITH

MCDONOUGH, GA
NPI1134389091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT005277)
Enumeration Date2008-06-13
Last Update Date2009-07-11
Business Address
VIVIAN ANN LANE SMITH P.T.
908 PAVILION CT
MCDONOUGH, GA 30253-6665
Phone number: 770-603-7050
Mailing Address
VIVIAN ANN LANE SMITH P.T.
352 CLOVER BROOK DR
LOCUST GROVE, GA 30248-7207
Phone number: 478-335-1953
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