Healthcare Provider Details

I. General information

NPI: 1184301806
Provider Name (Legal Business Name): VANESSA FRANS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 CHURCH ST NE STE 220
MARIETTA GA
30060-1116
US

IV. Provider business mailing address

3200 HIGHLANDS PKWY SE STE 420
SMYRNA GA
30082-5192
US

V. Phone/Fax

Practice location:
  • Phone: 770-422-8505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11998
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: