Individual
TIA BINGHAM VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SAINT JOSEPHS CANDLER DR STE 200, POOLER, GA 31322-9585
(912) 748-1999
(912) 527-1002
Mailing address
101 SAINT JOSEPHS CANDLER DR STE 200, POOLER, GA 31322-9585
(912) 748-1999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
330282
NY
207Q00000X
Family Medicine Physician
77781
GA
Other
Enumeration date
09/06/2013
Last updated
06/25/2024
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