Individual
DR. ANDREW JAMES VITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
320 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750-8694
(229) 423-9471
Mailing address
P O DRAWER 877, FITZGERALD, GA 31750-8694
(229) 423-9471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO15893
GA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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