Individual
MRS. FELICIA MICHELLE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
141 WALNUT RIDGE DR, MACON, GA 31211-6619
(478) 257-6033
(478) 742-1707
Mailing address
141 WALNUT RIDGE DR, MACON, GA 31211-6619
(478) 257-6033
(478) 742-1707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN053555
GA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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