DR. Agustin V Vitualla, MD

NPI #1134217029 in Camden, Tennessee

Provider Information

NPI Number: 1134217029
Entity Type: Individual
Name: DR. Agustin V Vitualla, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Oct 10, 2006
Last Updated: Oct 20, 2011

Practice Location

Address: 135 HOSPITAL DR
City: Camden
State: Tennessee
ZIP Code: 38320
Phone: (731) 584-2117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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