Luther Vance Jr. (NPI# 1205001542, PAC ID# 8325109366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1205001542 |
PAC ID by PECOS | 8325109366 |
Professional Enrollment ID | I20160809002443 |
Full Name | Luther Vance Jr. |
Organization Legal Name | TRINITY WELLNESS CENTER LLC |
Address |
9434 S Main St Suite 1100 Jonesboro GA 30236-6092 |
Phone Number | 7704781300 |
Gender | M |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8527314780 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
9434 S Main St, Suite 1100, Jonesboro, GA 30236-6092 | 7704781300 | TRINITY WELLNESS CENTER LLC |
Organization Legal Name | TRINITY WELLNESS CENTER LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Genia C Sword Fraser | Chiropractic | Trinity Wellness Center LLC | 9434 S Main St, Suite 1100, Jonesboro, GA 30236-6092 |
Street Address |
9434 S MAIN ST SUITE 1100 |
City | JONESBORO |
State | GA |
Zip | 30236-6092 |
Name | Specialty | Organization | Address |
---|---|---|---|
Genia C Sword Fraser | Chiropractic | Trinity Wellness Center LLC | 9434 S Main St, Suite 1100, Jonesboro, GA 30236-6092 |
Ryan Sutton | Clinical Social Worker | Antia's Tender Touch LLC | 9434 S Main St, Suite 500, Jonesboro, GA 30236-8722 |
Mindy S Mayers | Clinical Social Worker | Antia's Tender Touch LLC | 9434 S Main St, Suite 500, Jonesboro, GA 30236-8722 |
Stacy D Roberts | Chiropractic | Trinity Pain Relief Center LLC | 9434 S Main St, Jonesboro, GA 30236-6092 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jay Lerner | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
Rajiv Sood | Physical Medicine and Rehabilitation | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
Joon Nam Lee | Physical Medicine and Rehabilitation | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
Michael T Hartpence | Chiropractic | Southern Crescent Medical Clinic Inc | 696 Mt Zion Rd, Suite C4, Jonesboro, GA 30236 |
Pran N Sood | Orthopedic Surgery | Spine and Orthopedic Center | 1287 Hwy 138, Spur 8, Jonesboro, GA 30236 |
Radhakrishnan V Nair | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
Antenor Velazco | Orthopedic Surgery | Orthopaedic Solutions, P. C. | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-0002 |
Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
Kanye Willis | General Surgery | Robert Marriott Medical Corp | 293 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
Courtney Herndon | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
Find all physicians in zip 30236 |
City | JONESBORO |
Zip Code | 30236 |
Specialty | FAMILY MEDICINE |
City + Specialty | JONESBORO + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.