Individual
MOHABE ANTHONY VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4181 HOSPITAL DR NE STE 303, COVINGTON, GA 30014-2541
(770) 784-5540
Mailing address
1900 N BAYSHORE DR, APT. 5002, MIAMI, FL 33132-3001
(740) 446-5415
(740) 446-5958
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.124359
OH
208800000X
Urology Physician
Primary
86576
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109962
—
OH
05
—
3810027938
—
WV
Enumeration date
05/14/2009
Last updated
09/14/2020
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