Individual
JEFFREY VICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 S DUKE ST, DURHAM, NC 27701-3902
(919) 681-3161
Mailing address
607 ROCKCASTLE DR, CARY, NC 27519-2601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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