VIVIENNE THOMPSON

LOGANVILLE, GA
NPI1598422685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN180987)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
VIVIENNE THOMPSON
2333 SHADY MAPLE LN
LOGANVILLE, GA 30052-5889
Phone number: 404-839-2046
Mailing Address
VIVIENNE THOMPSON
2333 SHADY MAPLE LN
LOGANVILLE, GA 30052-5889
Phone number: 404-839-2046
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