Deweese, Vicki R

Deweese, Vicki R is an individual health care provider with primary practice located at 475 Reed Rd Ste 104 , Dalton GA 30720-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Deweese, Vicki R can be contacted via phone (706) 529-8710.

Contact Information

Primary practice address
475 Reed Rd Ste 104 Dalton GA 30720-6307
Phone: (706) 529-8710
Fax: (706) 529-8715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6358 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN145900 Georgia

Profile Details

NPI number 1164411559
LBN Legal business name Deweese, Vicki R
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jan 24th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164411559 NPPES
Georgia MEDICAID 000848658

Popular Providers