Yakum, Vivienne

Yakum, Vivienne is an individual health care provider with primary practice located at 2000 Howard Farm Dr Ste 450 , Cumming GA 30041-6085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Yakum, Vivienne can be contacted via phone (404) 962-6000.

Contact Information

Primary practice address
2000 Howard Farm Dr Ste 450 Cumming GA 30041-6085
Phone: (404) 962-6000
Fax: (404) 962-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005268 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10576 Georgia

Profile Details

NPI number 1215151352
LBN Legal business name Yakum, Vivienne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jun 23rd, 2023 - about last year

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 1215151352 NPPES
New York MEDICAID 005268

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