Individual
VIRGINIA TITTLE KEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-8297
(770) 909-2088
Mailing address
16 WRIGHTSBURG CT, SENOIA, GA 30276-3411
(770) 318-3361
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN145053
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2018
Last updated
03/13/2019
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