David E Vincent MD PC

Organization Active NPI Psychiatry Physician · St Simons Island, GA

NPI 1104050632 · NPPES record last updated May 12, 2009

Key facts

NPI
1104050632
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
License
053627 (GA)
Legal business name
DAVID E VINCENT MD PC
Practice address
2465 Demere Rd
Suite 209
St Simons Island, GA 31522-1630
Phone
(912) 634-1050
NPI assigned
May 12, 2009
Organization subpart
No

Authorized official

Name
David E Vincent, MD
Title
Provider
Phone
(912) 399-1866

National Provider Directory

Locations

2465 Demere Rd
Ste 209
St Simons Island, GA 31522
Phone (912) 580-0010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X 053627 GA Yes

Addresses

Primary practice location

2465 Demere Rd
Suite 209
St Simons Island, GA 31522-1630

Mailing address

PO Box 20303
St Simons Island, GA 31522-8303
Phone (912) 634-1050

Other providers in St Simons Island, GA

All providers in St Simons Island, GA · Psychiatry Physician in Georgia

Sources for this page

Verify at the official NPI Registry.