Provider Demographics
NPI:1497486799
Name:VARGAS GUEVARA, LINDSY M (CSFA)
Entity Type:Individual
Prefix:
First Name:LINDSY
Middle Name:M
Last Name:VARGAS GUEVARA
Suffix:
Gender:F
Credentials:CSFA
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Mailing Address - Street 1:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-0022
Mailing Address - Country:US
Mailing Address - Phone:678-294-9735
Mailing Address - Fax:
Practice Address - Street 1:3830 COOL SPRINGS PT
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5444
Practice Address - Country:US
Practice Address - Phone:678-294-9735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-19
Last Update Date:2023-01-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical