Individual
DR. RALPH NELSON VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WT HARRIS BLVD, STE 5202, CHARLOTTE, NC 28262-3485
(704) 547-1495
(704) 547-1861
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131HH
BCBS NC INDIVIDUAL PROV#
NC
01
—
800319
PARTNERS PROV #
NC
05
—
89131HH
—
NC
Enumeration date
06/05/2006
Last updated
12/18/2007
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