Individual
MS. AVERY SKYE ZICKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1365 CLIFTON RD NE BLDG C, ATLANTA, GA 30322-1013
(404) 778-1900
Mailing address
240 GRANT ST SE APT 3401, ATLANTA, GA 30312-2298
(404) 316-7630
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11591
GA
Other
Enumeration date
02/02/2023
Last updated
02/20/2025
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