Individual
MR. VINCE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 742-5850
(478) 742-5860
Mailing address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 742-5850
(478) 742-5860
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD002556
GA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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