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Individual

DR. VINCENT VELLUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
185 GEORGIA AVE EAST, FAYETTEVILLE, GA 30214
(770) 461-0055
(770) 461-7740
Mailing address
185 GEORGIA AVE EAST, FAYETTEVILLE, GA 30214
(770) 461-0055
(770) 461-7740

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR000875
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350023727
RR MEDICARE
GA
Enumeration date
01/25/2007
Last updated
01/29/2009
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