Organization
ALLEN M. VICKERS, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NETTIE HATCHER (DIRECTOR OF OPERATIONS)
(229) 848-2685
Entity
Organization
Contact information
Practice address
315 14TH ST E, TIFTON, GA 31794-4018
(229) 382-0803
Mailing address
315 14TH ST E, TIFTON, GA 31794-4018
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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