Irwin, Ae Mary Vilayvong

Irwin, Ae Mary Vilayvong is an individual health care provider with primary practice located at 380 Hospital Dr Ste 320 , Macon GA 31217-8007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Irwin, Ae Mary Vilayvong can be contacted via phone (478) 750-8606.

Contact Information

Primary practice address
380 Hospital Dr Ste 320 Macon GA 31217-8007
Phone: (478) 750-8606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X RN110412 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN145963 Georgia

Profile Details

NPI number 1306498605
LBN Legal business name Irwin, Ae Mary Vilayvong
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Nov 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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