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NPI Code Detail

MEDICARE: DR. VINCENT VINCENT III MD

MEDICARE: DR. VINCENT VINCENT III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD009772LA

General Provider Information

NPI Number : 1356323497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT VINCENT III MD
Provider Business Mailing Address
First Line : 3335 PRESCOTT RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3916
Country : US
Telephone Number : 318-448-3210
Fax Number : 318-443-4874
Provider Business Practice Location Address
First Line : 3335 PRESCOTT RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3916
Country : US
Telephone Number : 318-448-3210
Fax Number : 318-443-4874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 03/07/2023

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Directions to “ DR. VINCENT VINCENT III MD” Practice Location

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