Provider Demographics
NPI:1003286717
Name:ROUZEAU-SAUNDERS, VERNON GEORGE (RN, RNFA)
Entity Type:Individual
Prefix:
First Name:VERNON
Middle Name:GEORGE
Last Name:ROUZEAU-SAUNDERS
Suffix:
Gender:M
Credentials:RN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SHIRE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-2922
Mailing Address - Country:US
Mailing Address - Phone:678-332-8598
Mailing Address - Fax:
Practice Address - Street 1:1720 SHIRE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-2922
Practice Address - Country:US
Practice Address - Phone:678-332-8596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN238189363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical