IndividualActive
Agustin Vitualla, MD
NPI 1134217029 · General Practice Physician · Camden, TN
Provider details
- NPI number
- 1134217029
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 017177 (TN)
Practice location
135 Hospital Dr
Camden, TN 38320
Phone: (731) 584-2117
Fax: (731) 584-3564
Mailing address
Po Box 625
Camden, TN 38320
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2011-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.