Christopher Vinson
Individual provider Active NPI Contractor · Lakeland, GA
NPI 1730624438 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1730624438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 108 E Washington Ave
Lakeland, GA 31635-6840 - Phone
- (229) 375-8022
- NPI assigned
- Jan 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
108 E Washington Ave
Lakeland, GA 31635-6840
Mailing address
108 E Washington Ave
Lakeland, GA 31635-6840
Phone (229) 375-8022
Other providers in Lakeland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.