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Organization
VICKERY FAMILY MEDICINE, PLLC
Active
Organization
VICKERY FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID AUGUSTUS VICKERY M.D. (OWNER)
(828) 274-1600
Entity
Organization
Contact information
Practice address
15 YORKSHIRE ST, SUITE 201, ASHEVILLE, NC 28803-2760
(828) 274-1600
(828) 274-1603
Mailing address
15 YORKSHIRE ST, STE 201, ASHEVILLE, NC 28803-7783
(828) 274-1600
(828) 274-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200201416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908828
—
NC
Enumeration date
10/19/2006
Last updated
04/07/2022
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