Provider Demographics
NPI:1245968189
Name:VONNIES LLC
Entity type:Organization
Organization Name:VONNIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-828-0806
Mailing Address - Street 1:2617 SANDY PLAINS RD STE 1210
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4213
Mailing Address - Country:US
Mailing Address - Phone:404-828-0806
Mailing Address - Fax:
Practice Address - Street 1:2617 SANDY PLAINS RD STE 1210
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4213
Practice Address - Country:US
Practice Address - Phone:404-828-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care