Individual
VANESSA GYEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
549 GREYHOUND CT, UNION CITY, GA 30291-3455
(470) 455-4972
Mailing address
549 GREYHOUND CT, UNION CITY, GA 30291-3455
(470) 455-4972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN277908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4972
INSURANCE AND CASH PAY
—
Enumeration date
10/21/2019
Last updated
10/21/2019
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