Individual
ANNA BROOKE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(334) 730-8033
Mailing address
1001 BAKER AVE, AUGUSTA, GA 30904-4103
(334) 730-8033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PCET002704
GA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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