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Mariamma Vijai
Family Nurse Practitioner in Lawrenceville, Georgia
NPI 1437898293

Mariamma Vijai is a Family Nurse Practitioner based in Lawrenceville, GA and is specialized in Family. Mariamma Vijai practices in Lawrenceville, GA. The NPI Number for Mariamma Vijai is 1437898293 and holds a License No. RN173679 (Georgia).

The current practice location address for Mariamma Vijai is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 678-312-3460.

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 30046-7694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437898293
Provider Name
Mariamma Vijai
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Medical Center Blvd, Lawrenceville, GA, 30046-7694
Phone Number
678-312-3460
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-3460
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-3460
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN173679 (Georgia)
Definition
Definition to come...
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