Provider Demographics
NPI:1508350661
Name:VUC, IULIAN (NP-C)
Entity Type:Individual
Prefix:
First Name:IULIAN
Middle Name:
Last Name:VUC
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 PLANTATION CREST RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-4929
Mailing Address - Country:US
Mailing Address - Phone:205-454-8373
Mailing Address - Fax:229-247-1978
Practice Address - Street 1:2922 N OAK ST STE A
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1885
Practice Address - Country:US
Practice Address - Phone:229-247-1414
Practice Address - Fax:229-247-1978
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily