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VINEVILLE INTERNAL MEDICINE LLC NPI 1396955431


NPI Information

NPI: 1396955431
Provider Name: VINEVILLE INTERNAL MEDICINE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D1005138

Address:
3448 VINEVILLE AVE
MACON, GA
ZIP 31204
Phone: (478) 405-0045
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VINEVILLE INTERNAL MEDICINE LLC is an internal medicine in Macon, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VINEVILLE INTERNAL MEDICINE LLC NPI is 1396955431. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3448 VINEVILLE AVE
MACON, GA
ZIP 31204-867
Phone: (478) 405-0045
Fax: (478) 405-0054

The provider's authorized official is Katie B Andrews .
The authorized official title is Administration and has the following contact phone number (478) 405-0045.

The CLIA number assigned to this NPI record is 11D1005138 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine049552GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP7599MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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