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Individual
DR. JOHN DAVID VICKERY IV
Active
Individual
DR. JOHN DAVID VICKERY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
44948
TN
207K00000X
Allergy & Immunology Physician
Primary
67624
GA
207R00000X
Internal Medicine Physician
44948
TN
207R00000X
Internal Medicine Physician
67624
GA
Other
Enumeration date
04/13/2007
Last updated
05/20/2013
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