Individual
VANESSA M. VONDUERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
(770) 212-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11174
GA
363A00000X
Physician Assistant
PA.0005378
CO
363AM0700X
Medical Physician Assistant
5516
AZ
Other
Enumeration date
09/27/2013
Last updated
09/19/2022
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