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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VANITCHA R PINTAVORN, MD

Active Sole Proprietor

VANITCHA R PINTAVORN, MD is a Allergy healthcare provider located in EVANS, Georgia. NPI 1215931555 is currently active in the NPPES registry. Verify at CMS.

Allergy · EVANS, GA

Registration Details

NPI Number
1215931555
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2005 (21.201275532672 yrs)
Last Updated
Jul 11, 2008
License
048291 (GA)
Sole Proprietor
Yes

Practice Information

Address
418 TOWN PARK BLVD
SUITE 1A
EVANS, GA, 308093091
Browse GA providers · Browse ZIP 30809
Phone
7066501662
Fax
7068542131
Primary Specialty
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.