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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIRGINIA LAKE

Active Sole Proprietor

VIRGINIA LAKE is a Nurse Practitioner healthcare provider located in DALTON, Georgia. NPI 1720738867 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · DALTON, GA

Registration Details

NPI Number
1720738867
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2022 (4.3957934470518 yrs)
Last Updated
Mar 23, 2022
Licenses
225227 (GA)
225227 (GA)
Sole Proprietor
Yes

Practice Information

Address
812 THORNTON PL
DALTON, GA, 307205228
Browse GA providers · Browse ZIP 30720
Phone
4045787393
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in DALTON, GA

Name Credential NPI
MRS. MAE D JOHNSON FNP 1912905464
VICKI R DEWEESE FNP-BC 1164411559
CYNTHIA A SHULER APRN,BC 1912988239
MARIE N STAMM FNP 1306803804
MRS. PAMELA S ABERNATHY FNP-C 1568554632
DR. ANDREW JUSTIN KRITZER FNP-C 1811061021
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.