NPI 1255372041

Vanitcha R Pintavorn

Organisation Allergy Physician Evans, GA

Practice location

Address: 418 Town Park Blvd STE 1a, Evans, GA 30809-3090
Phone: (706) 650-1662
Fax: (706) 854-2131

Authorised official

Name: Vanitcha R Pintavorn
Title: Owner
Phone: (706) 650-1662

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 048291 (GA)

Other Allergy & Immunology providers in Georgia →

Registry record

NPI: 1255372041
Entity type: Organization
NPI issued: 10 Jun 2006
Record last updated: 11 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.