Mark W Vandine is a Chiropractor in Newnan, Georgia. Mark W Vandine practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark W Vandine is 1588847552. The last update date is 2007-12-12.
Mark W Vandine's current location address is 27 Bullsboro Dr, Newnan, Georgia. You can contact this provider via phone number 7702513238 and fax number 7702515340. The mailing address for Mark W Vandine is 27 Bullsboro Dr, Newnan, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark W Vandine |
|---|---|
| Address | 27 Bullsboro Dr, Newnan, Georgia |
| Phone Number | 7702513238 |
| Fax Number | 7702515340 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING AS |
|---|---|
| Authorized Official Name | Pierce M Angela |
| Telephone Number | 7702513238 |
NPI Number Detail
| NPI Number | 1588847552 |
|---|---|
| Provider Enumeration Date | 2007-12-12 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 27 Bullsboro Dr |
|---|---|
| City | Newnan |
| State | Georgia (GA) |
| Post Code | 302631570 |
| Phone Number | 7702513238 |
| Fax Number | 7702515340 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIRO1988 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6501 | GA | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the Mark W Vandine's 1588847552?
The Mark W Vandine's NPI (National Provider Identifier) Number is 1588847552. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark W Vandine is geographically located?
The Mark W Vandine is physically situated at the following location: 27 Bullsboro Dr, Newnan, GA, 302631570.
What is the Mark W Vandine's specialty and taxonomy code?
The Mark W Vandine's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Mark W Vandine receive its 1588847552 assignment from the Centers for Medicare & Medicaid Services?
The Mark W Vandine was assigned its 1588847552 by the Centers for Medicare & Medicaid Services on 2007-12-12.
When was the information pertaining to Mark W Vandine most recently updated or revised?
The details related to Mark W Vandine, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-12.