Individual
MARGO A VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681
(864) 963-3421
Mailing address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681
(864) 963-3421
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
10154
SC
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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