Yakum, Vivienne
Yakum, Vivienne is an individual health care provider with primary practice located at 2000 Howard Farm Dr Ste 450 , Cumming GA 30041-6085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Yakum, Vivienne can be contacted via phone (404) 962-6000.Contact Information
Primary practice address
2000 Howard Farm Dr Ste 450
Cumming GA 30041-6085
Phone: (404) 962-6000
Fax: (404) 962-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 005268 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10576 | Georgia |
Profile Details
| NPI number | 1215151352 |
|---|---|
| LBN Legal business name | Yakum, Vivienne |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jun 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215151352 | NPPES |
| New York | MEDICAID | 005268 |
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