Individual
CORTNEY ROSE VANACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6898
GA
Other
Enumeration date
08/05/2013
Last updated
08/22/2016
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