Veranet Healthcare, Llc | |
403 Permian Way Suite A Villa Rica GA 30180-3203 | |
(770) 771-5235 | |
(770) 771-5236 |
Full Name | Veranet Healthcare, Llc |
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Speciality | Family Medicine |
Location | 403 Permian Way, Villa Rica, Georgia |
Authorized Official Name and Position | Merna Michelle Vera (PRESIDENT) |
Authorized Official Contact | 7708534067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Veranet Healthcare, Llc Po Box 1615 Villa Rica GA 30180 Ph: (770) 771-5235 | Veranet Healthcare, Llc 403 Permian Way Suite A Villa Rica GA 30180-3203 Ph: (770) 771-5235 |
NPI Number | 1376645689 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 04/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376645689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 052389 (Georgia) | Primary |
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