Individual
CAROLINE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
RADAR US ARMY HEALTH CLINIC, 401 CARPENTER ROAD, FORT MYER, VA 22211
(703) 696-3032
Mailing address
1203 COLLINGWOOD RD, ALEXANDRIA, VA 22308-1729
(609) 203-2385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
07/24/2019
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