SearchGeorgiaOtolaryngology Physician

Michael Vick

NPI 1073503165 · on the registry since 2005

Practice

Address
504 W Memorial Dr
Dallas, GA 30132
Phone
(770) 505-7190
Fax
(770) 793-7413
Organisation at this address
Wellstar Physicians Group Ent, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Otolaryngology Physician
207Y00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia