Poling, Lisa Vivienne

Poling, Lisa Vivienne is an individual health care provider with primary practice located at 1000 Chastain Rd Nw , Kennesaw GA 30144-5588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Poling, Lisa Vivienne can be contacted via phone (678) 797-2844.

Contact Information

Primary practice address
1000 Chastain Rd Nw Kennesaw GA 30144-5588
Phone: (678) 797-2844
Fax: (678) 797-2827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN067035NP Georgia

Profile Details

NPI number 1003050576
LBN Legal business name Poling, Lisa Vivienne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Dec 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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