Provider Demographics
NPI:1063683829
Name:VILLINES, BRIGIT RENATA (DVM)
Entity type:Individual
Prefix:DR
First Name:BRIGIT
Middle Name:RENATA
Last Name:VILLINES
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3239 SATELLITE BLVD
Mailing Address - Street 2:BUILDING 500, SUITE 400
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4640
Mailing Address - Country:US
Mailing Address - Phone:888-637-4251
Mailing Address - Fax:
Practice Address - Street 1:5287 COVINGTON HWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-2202
Practice Address - Country:US
Practice Address - Phone:770-593-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAVET005217174M00000X
WAVT60366136174M00000X
OR7071174M00000X
NCV7715174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian