NPI 1871987404
Vivid Vision II
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
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.