Individual
MAGDALYN MAY VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 PASCAGOULA ST STE 3, PASCAGOULA, MS 39567-3203
(228) 712-8024
(228) 712-8027
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(769) 251-5550
(769) 251-5590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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