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Joffy S Vadakkedam
Licensed Practical Nurse in Lawrenceville, Georgia
NPI 1629692165

Joffy S Vadakkedam is a Licensed Practical Nurse based in Lawrenceville, GA. Joffy S Vadakkedam practices in Lawrenceville, GA. The NPI Number for Joffy S Vadakkedam is 1629692165 and holds a License No. 090341 (Georgia).

The current practice location address for Joffy S Vadakkedam is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394.

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30045-3483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629692165
Provider Name
Joffy S Vadakkedam
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 Gwinnett Dr, Lawrenceville, GA, 30045-3483
Phone Number
678-209-2394
Fax Number
Provider Enumeration Date
06/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
090341 (Georgia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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