Individual
BAKARI EUGENE VICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3839
(404) 609-4912
(404) 868-9499
Mailing address
620 COLONIAL PARK DR STE 300, ROSWELL, GA 30075-3839
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
066914
GA
Other
Enumeration date
06/23/2008
Last updated
07/03/2025
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