Healthcare Provider Details

I. General information

NPI: 1982724811
Provider Name (Legal Business Name): DR. VIRGINIA SINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 DALLAS HWY SUITE 201
VILLA RICA GA
30180-1264
US

IV. Provider business mailing address

690 DALLAS HWY SUITE 201
VILLA RICA GA
30180-1264
US

V. Phone/Fax

Practice location:
  • Phone: 678-840-8535
  • Fax:
Mailing address:
  • Phone: 678-840-8535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN000934
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN149692
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: