Provider Demographics
NPI:1407287501
Name:VISIONS HEALTH SPA
Entity Type:Organization
Organization Name:VISIONS HEALTH SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINSTRATOR
Authorized Official - Phone:678-395-5035
Mailing Address - Street 1:1060 DEER CHASE
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2404
Mailing Address - Country:US
Mailing Address - Phone:678-395-5035
Mailing Address - Fax:
Practice Address - Street 1:1060 DEER CHASE
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-2404
Practice Address - Country:US
Practice Address - Phone:678-395-5035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-29
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty