Vickery, Sheryl B
Vickery, Sheryl B is an individual health care provider with primary practice located at 203 Oakside Ln Ste C , Canton GA 30114-6407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vickery, Sheryl B can be contacted via phone (470) 410-7911.Contact Information
Primary practice address
203 Oakside Ln Ste C
Canton GA 30114-6407
Phone: (470) 410-7911
Fax: (770) 604-1929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 026446 | Georgia |
Profile Details
| NPI number | 1538226220 |
|---|---|
| LBN Legal business name | Vickery, Sheryl B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 16th, 2021 - about 3 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 | 1538226220 | NPPES |
| Georgia | Other | 883092643D | PEACH STATE # |
| Georgia | Other | 10033115 | PEACH STATE # |
| Georgia | MEDICAID | 883092643D | PEACH STATE # |
| Georgia | Other | 08BBSBL | PEACH STATE # |
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