Individual
BRIAN VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5437
(404) 785-9111
Mailing address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5437
(404) 785-9111
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
79477
GA
Other
Enumeration date
10/11/2007
Last updated
06/06/2022
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