JUSTIN VINES

TUSCALOOSA, AL
NPI1295147932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  L4008R)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-05-29
Last Update Date2022-07-21
Business Address
-- JUSTIN VINES
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7419
Phone number: 205-348-1770
Mailing Address
-- JUSTIN VINES
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7419
Phone number: 205-348-1770