Individual
JODI W. VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 PEACHTREE RD NE, ATLANTA, GA 30319-2729
(404) 814-9199
(404) 869-8118
Mailing address
4400 PEACHTREE RD NE, ATLANTA, GA 30319-2729
(404) 814-9199
(404) 869-8118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041988
GA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
041988
GA
Other
Enumeration date
11/21/2006
Last updated
11/22/2013
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