Provider Demographics
NPI:1790075513
Name:PEARSON, VELMA R
Entity Type:Individual
Prefix:MRS
First Name:VELMA
Middle Name:R
Last Name:PEARSON
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 1:2740 SHOEMAKER LN
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8097
Mailing Address - Country:US
Mailing Address - Phone:404-287-4572
Mailing Address - Fax:678-395-6622
Practice Address - Street 1:5781 STONE VALLEY DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-1840
Practice Address - Country:US
Practice Address - Phone:404-935-9438
Practice Address - Fax:404-935-9438
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171WV0202XOther Service ProvidersContractorVehicle Modifications
No172A00000XOther Service ProvidersDriver