Individual
NHI VU-TICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046-3370
(770) 343-4595
Mailing address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
102986
GA
207RP1001X
Pulmonary Disease Physician
Primary
102986
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
04/02/2025
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