Provider Demographics
NPI:1598077182
Name:TESTER, VIRGINIA VOYLES (CNM)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:VOYLES
Last Name:TESTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:3550 PRESTON RIDGE ROAD
Practice Address - Street 2:KAISER PERMANENTE ALPHARETTA MEDICAL CENTER
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30201
Practice Address - Country:US
Practice Address - Phone:770-663-3163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
GARN198360367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife