Driggers, Vicki Lynn

Driggers, Vicki Lynn is an individual health care provider with primary practice located at 10055 Ford Ave Suite 5A, Richmond Hill GA 31324-3972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Driggers, Vicki Lynn can be contacted via phone (912) 756-2020.

Contact Information

Primary practice address
10055 Ford Ave Suite 5A Richmond Hill GA 31324-3972
Phone: (912) 756-2020
Fax: (912) 756-3187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN090010 Georgia

Profile Details

NPI number 1144229824
LBN Legal business name Driggers, Vicki Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jun 25th, 2008 - about 16 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144229824 NPPES
Georgia MEDICAID 000787916E
Georgia MEDICAID NP0870

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