Individual
MRS. ANTWANETTA DENISE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
187 MOURY AVE SW, 1607, ATLANTA, GA 30315-3425
(404) 457-7943
Mailing address
187 MOURY AVE SW, 1607, ATLANTA, GA 30315-3426
(404) 457-7943
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
003916
NY
227800000X
Certified Respiratory Therapist
Primary
006826
GA
227800000X
Certified Respiratory Therapist
0117005266
VA
227800000X
Certified Respiratory Therapist
1603395
KS
227800000X
Certified Respiratory Therapist
2006032814
MO
227800000X
Certified Respiratory Therapist
YM012043
PA
Other
Enumeration date
05/11/2007
Last updated
09/10/2007
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