Provider Demographics
NPI:1558706291
Name:ALDERSON, VELMA ELENA
Entity Type:Individual
Prefix:MRS
First Name:VELMA
Middle Name:ELENA
Last Name:ALDERSON
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 1:959 NESTLING DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-3710
Mailing Address - Country:US
Mailing Address - Phone:678-576-2759
Mailing Address - Fax:
Practice Address - Street 1:959 NESTLING DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-3710
Practice Address - Country:US
Practice Address - Phone:678-576-2759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver