Individual provider · Type 1 NPI

Edna Marilea Vincent, RN

Mental Health Clinic/Center (Including Community Mental Health Center) · Augusta, GA

NPI number 1629152707 Active

Practice location

3421 Mike Padgett Hwy
Augusta, GA 30906-3815

Fax (706) 554-3780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XRN136264 (GA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1629152707

Edna Marilea Vincent, RN's National Provider Identifier is 1629152707, issued on Oct 25, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.