Agustin V Vitualla in Camden - General Practice
Agustin V Vitualla - NPI 1134217029
Agustin V Vitualla is a General Practice in Camden, Tennessee. Agustin V Vitualla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Agustin V Vitualla is 1134217029. The last update date is 2011-10-20.
Agustin V Vitualla's current location address is Po Box 625, Camden, Tennessee. You can contact this provider via phone number 7315842117 and fax number 7315843564. The mailing address for Agustin V Vitualla is Po Box 625, Camden, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agustin V Vitualla |
|---|---|
| Address | Po Box 625, Camden, Tennessee |
| Phone Number | 7315842117 |
| Fax Number | 7315843564 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134217029 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
| Address | Po Box 625 |
|---|---|
| City | Camden |
| State | Tennessee (TN) |
| Post Code | 38320 |
| Phone Number | 7315842117 |
| Fax Number | 7315843564 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 17177 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3021196 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Agustin V Vitualla?
The Agustin V Vitualla has been issued the NPI (National Provider Identifier) 1134217029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Agustin V Vitualla is physically located?
The Agustin V Vitualla is physically situated at the following address: Po Box 625, Camden, TN, 38320.
What is Agustin V Vitualla's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Agustin V Vitualla is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Agustin V Vitualla receive its 1134217029 assignment from the Centers for Medicare & Medicaid Services?
The Agustin V Vitualla was assigned its 1134217029 by the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the Agustin V Vitualla's information last updated?
The Agustin V Vitualla's information was last updated on 2011-10-20.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH