Vickers, Gregory N

Vickers, Gregory N is an individual health care provider with primary practice located at 5000 W 4Th St , Hattiesburg MS 39402-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Vickers, Gregory N can be contacted via phone (601) 450-0521.

Contact Information

Primary practice address
5000 W 4Th St Hattiesburg MS 39402-1000
Fax: (601) 450-0554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 12576 Mississippi

Profile Details

NPI number 1760428569
LBN Legal business name Vickers, Gregory N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 10th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760428569 NPPES
Mississippi MEDICAID 00123316

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