Individual
DR. MARVIN HABER VICKERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2227 BREAKWATER DR, KNOXVILLE, TN 37922-5678
(865) 675-2890
Mailing address
2227 BREAKWATER DR, KNOXVILLE, TN 37922-5678
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD9229
TN
2086S0129X
Vascular Surgery Physician
MD9229
TN
Other
Enumeration date
08/31/2006
Last updated
04/07/2011
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