Provider Demographics
NPI:1225771918
Name:VESS, JULIANNA FAITH
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:FAITH
Last Name:VESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 SUNRISE CIR SE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-4570
Mailing Address - Country:US
Mailing Address - Phone:706-263-1466
Mailing Address - Fax:
Practice Address - Street 1:240 SUNRISE CIR SE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-4570
Practice Address - Country:US
Practice Address - Phone:706-263-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program