Individual
DR. IMANI D. VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
741 CHANCE RD, MARIETTA, GA 30066-3711
(770) 977-5355
(770) 973-8497
Mailing address
741 CHANCE RD, MARIETTA, GA 30066-3711
(770) 977-5355
(770) 973-8497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000356617A
—
GA
Enumeration date
05/18/2006
Last updated
08/10/2009
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