Search › Georgia › 111N00000X
William Vicory
NPI 1720373087 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2319 Ridge Rd
Augusta, GA 30906 - Phone
- (843) 754-0055
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-15
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