Individual
VADIM LVOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
5570 ARROWIND RD NW, LILBURN, GA 30047-8211
(770) 717-8997
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1437
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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