Individual
GARRETT LUKER VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
33650 HIGHWAY 43, THOMASVILLE, AL 36784-3305
(334) 636-5311
Mailing address
33650 HIGHWAY 43, THOMASVILLE, AL 36784-3305
(334) 636-5311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-191299
AL
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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