Victoria Lively, CSFA

NPI 1376203760 · on the registry since 2021

Practice

Address: 1557 Janmar Rd
Snellville, GA 30078
Phone: (770) 841-6911
Organisation at this address: Men'S Health Georgia
Advanced Care Providers, Llc
Advanced Urology Surgery Center
Advanced Urology Anesthesia, Llc
Advanced Urology Institute Of Georgia
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 246ZC0007X
246ZC0007X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia