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Vanitcha R Pintavorn, MD
Allergy Physician in Evans, Georgia
NPI 1215931555

Vanitcha R Pintavorn is an Allergy Physician based in Evans, GA and is specialized in Allergy. Vanitcha R Pintavorn practices in Evans, GA and has the professional credentials of MD. The NPI Number for Vanitcha R Pintavorn is 1215931555 and holds a License No. 048291 (Georgia).

The current practice location address for Vanitcha R Pintavorn is 418 Town Park Blvd, Evans, GA and can be reached out via phone at 706-650-1662 and via fax at 706-854-2131.

Location: 418 Town Park Blvd, Evans, GA, 30809-3091
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Provider Profile Details
NPI Number
1215931555
Provider Name
Vanitcha R Pintavorn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
418 Town Park Blvd, Evans, GA, 30809-3091
Phone Number
706-650-1662
Fax Number
706-854-2131
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000894154D 05 GA
G48291 05 SC
institution
Provider Business Practice Location Address Details
Address
418 Town Park Blvd
City
State
Zip
30809-3091
Phone Number
706-650-1662
Fax Number
706-854-2131
person
Provider Business Mailing Address Details
Address
418 Town Park Blvd
City
State
Zip
30809-3091
Phone Number
706-650-1662
Fax Number
706-854-2131
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
048291 (Georgia)
Definition
Definition to come...
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