MICHAEL VICK
Otolaryngology
Active
Individual
NPI: 1073503165
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Otolaryngology | 207Y00000X | Yes | 044656 (GA) |
Frequently Asked Questions
NPI 1073503165 is the National Provider Identifier for MICHAEL VICK, a Otolaryngology provider located in Dallas, GA. This NPI was enumerated on October 28, 2005.
MICHAEL VICK practices at 504 W MEMORIAL DR, Dallas, GA 30132.
Quick Facts
- NPI
- 1073503165
- Type
- Individual
- Enumerated
- Oct 28, 2005
- Last Updated
- Jul 8, 2007
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