Ivy Vickers

NPI 1184173965 · on the registry since 2016

Practice

Address: 657 Hemlock St
Suite 220
Macon, GA 31201
Phone: (478) 361-6921
Organisation at this address: Dsi Macon, Llc
Magna Intensive Care Llc
Central Georgia Internist
Diamond Odell Jude, Md, Llc
Nra Midtown Macon Georgia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-09-22

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