Individual
IVY VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
657 HEMLOCK ST, SUITE 220, MACON, GA 31201
(478) 361-6921
Mailing address
118 CHADWYCK CIR, BONAIRE, GA 31005-3167
(478) 213-6948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812782599
—
GA
Enumeration date
09/22/2016
Last updated
09/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us