Vera, Merna Michelle

Vera, Merna Michelle is an sole proprietor health care provider with primary practice located at 403 Permian Way Suite A, Villa Rica GA 30180-3252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vera, Merna Michelle can be contacted via phone (770) 771-5235.

Contact Information

Primary practice address
403 Permian Way Suite A Villa Rica GA 30180-3252
Fax: (770) 771-5236
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 052136 Georgia

Profile Details

NPI number 1518932185
LBN Legal business name Vera, Merna Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Feb 11th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518932185 NPPES
Georgia MEDICAID 732741897G

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