Individual
DONALD VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY STE C003, COLUMBUS, GA 31904-6877
(706) 324-7753
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
90849
GA
Other
Enumeration date
03/28/2017
Last updated
09/11/2024
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