Individual
REGINE G VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1385
(404) 261-6611
Mailing address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1385
(404) 261-6611
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN180691
GA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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