Individual
ODELL GEORGE VINING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
233 12TH ST, SUITE 901, COLUMBUS, GA 31901-2462
(706) 225-0322
(706) 225-0321
Mailing address
233 12TH ST, SUITE 901, COLUMBUS, GA 31901-2462
(706) 225-0322
(706) 225-0321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003434
GA
Other
Enumeration date
04/08/2011
Last updated
08/08/2013
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