Vickery, Lisa

Vickery, Lisa is an sole proprietor health care provider with primary practice located at 321 Woodland Rd , Monroe GA 30655-2021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vickery, Lisa can be contacted via phone (770) 267-3918.

Contact Information

Primary practice address
321 Woodland Rd Monroe GA 30655-2021
Phone: (770) 267-3918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25683 Georgia

Profile Details

NPI number 1336660455
LBN Legal business name Vickery, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Jun 28th, 2017 - about 8 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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