Individual
MRS. VIJA HOLLEY RUNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
243 VIRGINIA TRL, CARROLLTON, GA 30117-5279
(678) 492-8547
Mailing address
243 VIRGINIA TRL, CARROLLTON, GA 30117-5279
(678) 492-8547
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN089830
GA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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