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Contact Information

V AND V CLINIC
1020 WEST BRYAN STREET
DOUGLAS, GA31533
 Phone: 912-383-8617
 Fax: 912-383-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for V AND V CLINIC · (Female)

NPI Number 1346482700
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2009
Last updated 04/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 033667
  • GA Medicaid 000439381A
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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