Vickers, Teresa S

Vickers, Teresa S is an individual health care provider with primary practice located at 1860 Watson Blvd , Warner Robins GA 31093-3612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Vickers, Teresa S can be contacted via phone (478) 225-9001.

Contact Information

Primary practice address
1860 Watson Blvd Warner Robins GA 31093-3612
Phone: (478) 225-9001
Fax: (478) 225-9167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN149574 Georgia

Profile Details

NPI number 1275060295
LBN Legal business name Vickers, Teresa S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated May 22nd, 2017 - about 9 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 1275060295 NPPES
Georgia Other AG05170061 GEORGIA CERTIFICATION (NP)
Georgia Other RN149574 GEORGIA CERTIFICATION (NP)

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