Mr. Vance Baxter Ingle

Individual provider Physical Therapist · NPI 1568157667

Mr. Vance Baxter Ingle is a Physical Therapist in Private Practice in Mineral Bluff, Georgia. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying: 41
Licensed in: NC
In the registry since: 2023

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Practice location Address checks out

442 Valley Lake Trl
Mineral Bluff, GA 30559-2643
Phone: (706) 455-8619

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 4658 (NC)

Record details

NPI number	1568157667
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 6, 2023
Last updated in NPPES	April 6, 2023
Certification date	April 6, 2023
Mailing address	442 Valley Lake Trl, Mineral Bluff, GA 30559-2643

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	1985 (41 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount