Vineville Internal Medicine LLC

NPI #1396955431 in Macon, Georgia

Provider Information

NPI Number
1396955431
Entity Type
Organization
Organization Name
Vineville Internal Medicine LLC
Primary Specialty
Internal Medicine
Enumeration Date
May 23, 2007
Last Updated
Aug 20, 2014

Practice Location

Address
3448 VINEVILLE AVE
City
Macon
State
Georgia
ZIP Code
31204-1867
Phone
(478) 405-0045

Authorized Official

Name
MRS. KATIE B ANDREWS
Title
ADMINISTRATION
Phone
(478) 405-0045

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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