| Joshua Caleb Vining, FNP | |
|
15 S Railroad St, Lenox, GA 31637-7424 | |
| (229) 999-1778 | |
| (295) 464-6122 |
| Full Name | Joshua Caleb Vining |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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 |