Individual
JUSTIN VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-6561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4008R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2014
Last updated
07/21/2022
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