Individual
JUSTIN VINOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216-8088
(404) 323-9804
Mailing address
1539 WHEAT GRASS WAY, GRAYSON, GA 30017-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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