Individual
MRS. SUZANNE POWE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
972 MONTCLAIR RD, BIRMINGHAM, AL 35213-1204
(205) 592-4880
(205) 592-3999
Mailing address
1507 SUTHERLAND PL, HOMEWOOD, AL 35209-2330
(205) 515-9354
(205) 592-3999
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RA-1119
AL
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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