VINCENT F POLVINALE

DUNWOODY, GA
NPI1154376341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN096241)
Enumeration Date2006-05-24
Last Update Date2013-01-04
Business Address
-- VINCENT F POLVINALE CRNA
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Phone number: 770-454-4286
Mailing Address
-- VINCENT F POLVINALE CRNA
PO BOX 70128
MARIETTA, GA 30007-0128
Phone number: 770-578-1800
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