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Individual

DR. JUAN VICENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
(706) 554-4435
Mailing address
129 GRAYS CREEK DR, SAVANNAH, GA 31410-1042
(912) 897-9692

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034972
GA

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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