1. Home
  2. Directory
  3. Tennessee
  4. Camden
  5. General Practice
  6. NPI Profile

DR. AGUSTIN V VITUALLA MD
NPI 1134217029
General Practice in Camden, TN

Active since October 10, 2006
135 HOSPITAL DR, CAMDEN, TN 38320(731) 584-2117(731) 584-3564 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Agustin V Vitualla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AGUSTIN V VITUALLA MD (NPI 1134217029) is an individual general practice provider in Camden, Tennessee, licensed in Tennessee (017177) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1134217029
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. AGUSTIN V VITUALLACredential: MD
Location Address135 HOSPITAL DRCamden, TN 38320
Mailing AddressPo Box 625, 135 Hospital DrCamden, TN 38320 · (731) 584-2117 · Fax (731) 584-3564
Phone(731) 584-2117
Fax(731) 584-3564
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1134217029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 017177
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
135 HOSPITAL DR, Camden, TN 38320
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA98494
Medicare ID-Type Unspecified3021196
Medicaid3021196TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agustin Vitualla's NPI number?

The NPI number for Agustin Vitualla is 1134217029. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Agustin Vitualla located?

Agustin Vitualla practices at 135 Hospital Dr, Camden, TN 38320. The listed phone number is (731) 584-2117.

What is Agustin Vitualla's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Agustin Vitualla was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.