Individual
DR. MARY CAROLYN CLEMENTS VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA 22911-4668
(434) 654-5260
(844) 340-9731
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(888) 236-2263
(434) 654-8961
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS11285
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0102206935
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
OS11285
FL
Other
Enumeration date
05/22/2008
Last updated
06/14/2022
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