Individual
JAMES VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(866) 612-5074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11188
TN
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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