person
Ms. Vivian Gaines-thompson, NP
Family Nurse Practitioner in Stone Mountain, Georgia
NPI 1790197283

Vivian Gaines-thompson is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Vivian Gaines-thompson practices in Stone Mountain, GA and has the professional credentials of NP. The NPI Number for Vivian Gaines-thompson is 1790197283 and holds a License No. 28103222A (Georgia).

The current practice location address for Vivian Gaines-thompson is 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA and can be reached out via phone at 470-444-3134 and via fax at 470-276-4370. You can also correspond with Vivian Gaines-thompson through the mailing address at PO BOX 740015, ATLANTA, GA - 30374-0015 (mailing address contact number: 312-733-9730).

Location: 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
person
Provider Profile Details
NPI Number
1790197283
Provider Name
Vivian Gaines-thompson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
Phone Number
470-444-3134
Fax Number
470-276-4370
Provider Enumeration Date
06/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0614489 01 IN BOARD CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider Business Mailing Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28103222A (Indiana)
Definition
Definition to come...
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