Individual
VANITA DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 WHITFIELD CT, STOCKBRIDGE, GA 30281-1492
(678) 814-6562
Mailing address
736 WHITFIELD CT, STOCKBRIDGE, GA 30281-1492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN171279
GA
Other
Enumeration date
06/28/2019
Last updated
11/24/2020
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