Individual
DAVID K. VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 JAMES ST, ADEL, GA 31620-1504
(229) 896-3424
(229) 896-3838
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3450
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN164513
GA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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