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
Fax: (912) 350-5824
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134185192 NPPES
Georgia MEDICAID 702741068A

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