Organization
VINOD C MEHTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD C MEHTA M.D (OWNER)
(770) 228-8242
Entity
Organization
Contact information
Practice address
546B S 8TH ST, GRIFFIN, GA 30224-4212
(770) 228-8242
(770) 200-2605
Mailing address
546B S 8TH ST, GRIFFIN, GA 30224-4212
(770) 228-8242
(770) 200-2605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA092213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330085D
—
GA
01
—
371035
BCBS
GA
01
—
GA092213
LICENCE
GA
Enumeration date
11/01/2006
Last updated
03/24/2014
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