Smith, Vivian Ann Lane

Smith, Vivian Ann Lane is an individual health care provider with primary practice located at 908 Pavilion Ct , Mcdonough GA 30253-6665. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Vivian Ann Lane can be contacted via phone (770) 603-7050.

Contact Information

Primary practice address
908 Pavilion Ct Mcdonough GA 30253-6665
Phone: (770) 603-7050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT005277 Georgia

Profile Details

NPI number 1134389091
LBN Legal business name Smith, Vivian Ann Lane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jul 11th, 2009 - about 16 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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