Joshua Caleb Vining, FNP | |
15 S Railroad St, Lenox, GA 31637-7424 | |
(229) 999-1778 | |
(295) 464-6122 |
Full Name | Joshua Caleb Vining |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 15 S Railroad St, Lenox, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487260949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN231071 (Georgia) | Primary |
Entity Name | South Central Primary Care Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891978854 PECOS PAC ID: 1951395920 Enrollment ID: O20040413000249 |
Entity Name | Magnolia Urgent Care & Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164159646 PECOS PAC ID: 5597134502 Enrollment ID: O20221214002128 |
Mailing Address | Practice Location Address |
---|---|
Joshua Caleb Vining, FNP 401 Mall Blvd Ste 202e, Savannah, GA 31406-4834 Ph: (912) 349-4945 | Joshua Caleb Vining, FNP 15 S Railroad St, Lenox, GA 31637-7424 Ph: (229) 999-1778 |
Spencer Michael Connell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1713 Moultrie Lenox Rd, Lenox, GA 31637 Phone: 229-392-6845 | |
Krystle Dixon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 S Railroad St, Lenox, GA 31637 Phone: 229-546-4206 Fax: 229-546-4612 | |
Cheryl Solomon, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 S Railroad St, Lenox, GA 31637 Phone: 229-546-4206 Fax: 229-546-4612 |