Individual
KRISTI SUZANNE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
10692 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1890
(404) 446-2496
Mailing address
3533 CAMERON DR, GAINESVILLE, GA 30506-8200
(770) 298-3531
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN255722
GA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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