Individual
MRS. VINI SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
738 OLD NORCROSS RD STE 110, LAWRENCEVILLE, GA 30046-4466
(470) 415-8320
Mailing address
3209 WOOD SPRINGS CT SW, LILBURN, GA 30047-8104
(404) 276-4530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN186436
GA
363LF0000X
Family Nurse Practitioner
RN186436
GA
Other
Enumeration date
09/22/2014
Last updated
07/19/2024
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