Individual
MS. ANGIE MICHELLE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2000 10TH AVE, SUITE 410, COLUMBUS, GA 31901-3700
(706) 653-4615
(706) 653-4618
Mailing address
2000 10TH AVE, SUITE 410, COLUMBUS, GA 31901-3700
(706) 653-4615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN214290
GA
Other
Enumeration date
08/04/2011
Last updated
12/01/2014
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