Individual
ANDREA MICHELLE VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3351 S PEAK DR STE 101, FAYETTEVILLE, NC 28306-9693
(910) 908-4673
(910) 908-2242
Mailing address
1125 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-6023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-00956
NC
207Q00000X
Family Medicine Physician
Q2865
TX
Other
Enumeration date
05/16/2012
Last updated
11/12/2021
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