Provider Demographics
NPI:1710043237
Name:VPC, INC.
Entity type:Organization
Organization Name:VPC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.O.O./CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARSON
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-537-9355
Mailing Address - Street 1:303 HARRIS INDUSTRIAL BLVD.
Mailing Address - Street 2:STE 3
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-8854
Mailing Address - Country:US
Mailing Address - Phone:912-537-9355
Mailing Address - Fax:912-373-8096
Practice Address - Street 1:303 HARRIS INDUSTRIAL BLVD.
Practice Address - Street 2:STE 3
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8854
Practice Address - Country:US
Practice Address - Phone:912-537-9355
Practice Address - Fax:912-373-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty