Vickery, Raymond Daniel
Vickery, Raymond Daniel is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Vickery, Raymond Daniel can be contacted via phone (762) 408-2532.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Moore GA 31905-2102
Phone: (762) 408-2532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 98041 | Georgia |
Profile Details
| NPI number | 1093444606 |
|---|---|
| LBN Legal business name | Vickery, Raymond Daniel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2022 |
| Last updated | Dec 1st, 2023 - about last year |
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 | 1093444606 | NPPES |
| Georgia | Other | 98041 | MEDICAL LICENSE |
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