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Contact Information

MIRNALIS M VEGA, D.O
2124 CANDLER RD
DECATUR, GA30032-5572
 Phone: 404-836-0272
 Fax: 404-666-0038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MIRNALIS M VEGA · (Female)

NPI # 1043501000
Status Active
Credentials D.O
Entity Individual
Enumeration date 04/26/2011
Last updated 08/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 96939
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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