Individual
DR. ROBERT FAVROT VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3925 PEACHTREE RD NE STE 300, BROOKHAVEN, GA 30319-5257
(770) 400-7700
(770) 254-6109
Mailing address
3925 PEACHTREE RD NE STE 300, BROOKHAVEN, GA 30319-5257
(770) 400-7700
(770) 254-6109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101650
GA
207Q00000X
Family Medicine Physician
46806
AL
Other
Enumeration date
03/24/2021
Last updated
10/02/2024
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