Individual
MS. VICKIE J IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3410 ROCKY PINE CT, LITHONIA, GA 30038-2851
(770) 808-6100
(770) 808-7527
Mailing address
3410 ROCKY PINE CT, LITHONIA, GA 30038-2851
(770) 808-6100
(770) 808-7527
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN032165
GA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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