Individual
MS. SHARON DENISE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2517 FRAGGLE ROC, CONYERS, GA 30012-2882
(678) 615-9201
Mailing address
2517 FRAGGLE ROC, CONYERS, GA 30012-2882
(678) 615-9201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065665
GA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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