ILIANA I VERMILLION

KENNESAW, GA
NPI1174077028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN216175)
Enumeration Date2016-08-09
Last Update Date2016-12-21
Business Address
-- ILIANA I VERMILLION NP-C
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144-3227
Phone number: 470-578-7937
Mailing Address
-- ILIANA I VERMILLION NP-C
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144-3227
Phone number: