Individual
VONTEAIC LACHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
619 MANNING ML, MACON, GA 31216-7379
(478) 775-3872
Mailing address
619 MANNING ML, MACON, GA 31216-7379
(478) 775-3872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN276921
GA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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