Organization
VINEVILLE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE B ANDREWS (ADMINISTRATION)
(478) 405-0045
Entity
Organization
Contact information
Practice address
3448 VINEVILLE AVE, MACON, GA 31204-1867
(478) 405-0045
(478) 405-0054
Mailing address
3448 VINEVILLE AVE, MACON, GA 31204-1867
(478) 405-0045
(478) 405-0054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049552
GA
Other
Enumeration date
05/23/2007
Last updated
08/20/2014
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