Vann, John Randolph

Vann, John Randolph is an individual health care provider with primary practice located at 11 Park Creek Dr , Greenville SC 29605-4270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Vann, John Randolph can be contacted via phone (864) 234-7654.

Contact Information

Primary practice address
11 Park Creek Dr Greenville SC 29605-4270
Phone: (864) 234-7654
Fax: (864) 675-1657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10571 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 10571 South Carolina

Profile Details

NPI number 1790743847
LBN Legal business name Vann, John Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 14th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790743847 NPPES
South Carolina MEDICAID 105718

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