SOVICHEARATH VANN

JONESBORO, GA
NPI1811704257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN201770)
Enumeration Date2024-12-17
Last Update Date2024-12-17
Business Address
SOVICHEARATH VANN NP
2759 MOUNT ZION PKWY
JONESBORO, GA 30236-2568
Phone number: 678-289-8338
Mailing Address
SOVICHEARATH VANN NP
1240 SHOREHAM DR
COLLEGE PARK, GA 30349-5846
Phone number: 404-944-0132