Individual
DANA M AVIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1700 ADAMS ST, VIDALIA, GA 30474-5557
(912) 537-1772
Mailing address
1700 ADAMS ST, VIDALIA, GA 30474-5557
(912) 537-1772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN115997
GA
Other
Enumeration date
05/20/2006
Last updated
08/16/2010
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