Whalio Doctors

NPI 1871987404

Vivid Vision II

Organisation Case Management Agency Snellville, GA

Practice location

Address
4066 Percheron Ln, Snellville, GA 30039-2780
Phone
(404) 202-5219
Fax
(770) 648-6289

Authorised official

Name
Shari Blake
Title
Owner
Phone
(404) 202-5219

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1871987404
Entity type
Organization
NPI issued
20 Mar 2015
Record last updated
25 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.