Individual
RACHEL VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-4159
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1473
AL
Other
Enumeration date
06/27/2019
Last updated
09/19/2022
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