Individual
DR. MERNA MICHELLE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3252
(770) 771-5235
(770) 771-5236
Mailing address
PO BOX 1615, VILLA RICA, GA 30180-6409
(770) 771-5235
(770) 771-5236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
732741897G
—
GA
Enumeration date
02/17/2006
Last updated
02/11/2011
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