AGUSTIN V VITUALLA

CAMDEN, TN
NPI1134217029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: TN  017177)
Enumeration Date2006-10-10
Last Update Date2011-10-20
Business Address
Dr. AGUSTIN V VITUALLA MD
135 HOSPITAL DR
CAMDEN, TN 38320
Phone number: 731-584-2117
Mailing Address
Dr. AGUSTIN V VITUALLA MD
PO BOX 625 135 HOSPITAL DR
CAMDEN, TN 38320
Phone number: 731-584-2117
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