Harris, Vickie Bryant
Harris, Vickie Bryant is an sole proprietor health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Harris, Vickie Bryant can be contacted via phone (912) 350-2664.Contact Information
Primary practice address
4700 Waters Ave
Savannah GA 31404-6220
Phone: (912) 350-2664
Fax: (912) 350-5824
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 052898 | Georgia |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 052898 | Georgia |
Profile Details
NPI number | 1134185192 |
---|---|
LBN Legal business name | Harris, Vickie Bryant |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2006 |
Last updated | Dec 24th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134185192 | NPPES |
Georgia | MEDICAID | 702741068A |
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