THEODORA LANE VAILE

ATLANTA, GA
NPI1205163797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RNO77746)
Enumeration Date2009-11-04
Last Update Date2009-11-04
Business Address
Ms. THEODORA LANE VAILE n.p.
325 CANDLER RD SE
ATLANTA, GA 30317-3433
Phone number: 404-288-2273
Mailing Address
Ms. THEODORA LANE VAILE n.p.
325 CANDLER RD SE
ATLANTA, GA 30317-3433
Phone number: 404-288-2273
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