Individual
MACQUINTON VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1026 MEADOW RD, COLERAIN, NC 27924-9004
(252) 565-6676
Mailing address
6045 KENTWORTH DR, HOLLY SPRINGS, NC 27540-7670
(252) 565-6676
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023100674
NC
Other
Enumeration date
10/19/2023
Last updated
04/08/2024
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