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Individual

DAVID AUGUSTUS VICKERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 YORKSHIRE ST, SUITE 201, ASHEVILLE, NC 28803-7783
(828) 274-1600
(828) 274-1603
Mailing address
15 YORKSHIRE ST, SUITE 201, ASHEVILLE, NC 28803-7783
(828) 274-1600
(828) 274-1603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200201416
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2030977A
MEDICARE ID
NC
05
89137RT
NC
Enumeration date
05/15/2007
Last updated
05/17/2016
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