Healthcare Provider Details

I. General information

NPI: 1861544637
Provider Name (Legal Business Name): MARGARET VICTORIA GUTHRIE RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. VICKI GUTHRIE

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S PARK PL SE
ATLANTA GA
30339-2013
US

IV. Provider business mailing address

1807 CRESCENT HILL DR NW
ACWORTH GA
30102-7917
US

V. Phone/Fax

Practice location:
  • Phone: 770-956-6464
  • Fax: 770-956-6463
Mailing address:
  • Phone: 770-956-6486
  • Fax: 770-956-6463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN042283
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: