institution
Vanitcha R Pintavorn
Allergy Physician in Evans, Georgia
NPI 1255372041

Vanitcha R Pintavorn is an Allergy Physician based in Evans, GA and is specialized in Allergy. Vanitcha R Pintavorn practices in Evans, GA. The NPI Number for Vanitcha R Pintavorn is 1255372041 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, 30809-3090
institution
Provider Profile Details
NPI Number
1255372041
Provider Name
Vanitcha R Pintavorn
Credential
Provider Entity Type
Organization
Address
418 Town Park Blvd, Evans, GA, 30809-3090
Phone Number
706-650-1662
Fax Number
706-854-2131
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G48291 05 SC
52837117 01 GA BCBS
000894154D 05 GA
institution
Provider Business Practice Location Address Details
Address
418 Town Park Blvd
City
State
Zip
30809-3090
Phone Number
706-650-1662
Fax Number
706-854-2131
person
Provider Business Mailing Address Details
Address
418 Town Park Blvd
City
State
Zip
30809-3090
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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