Doctor Name: | DR. CESAR ALFREDO VINUEZA |
NPI Number: | 1750503827 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 028476 |
Business Practice Address: | 626a Us Highway 80 W Garden City, GA - 314083110 |
Business Phone Number: | 9129647897 |
Business Fax Number: | 9129647898 |
Mailing Address: | 626a Us Highway 80 W, GARDEN CITY |
State: | GA |
Postal Code: | 314083110 |
Phone Number: | 9129647897 |
Fax Number: | 9129647898 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 028476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |