Individual
JOHN W VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 US HIGHWAY 64, ADAMSVILLE, TN 38310-4078
(731) 632-3383
(731) 632-3762
Mailing address
345 US HIGHWAY 64, ADAMSVILLE, TN 38310-4078
(731) 632-3383
(731) 632-3762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115572
—
TN
05
—
12104
—
TN
01
—
3124803
BLUE CROSS BLUE SHIELD A
TN
01
—
3130493
BLUE CROSS BLUE SHIELD S
TN
01
—
3130495
BLUE CROSS BLUE SHIELD H
TN
05
—
3717101
—
TN
Enumeration date
06/26/2006
Last updated
10/25/2010
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