Vicks, Sherell Denise

Vicks, Sherell Denise is an individual health care provider with primary practice located at 5910 Hillandale Dr Suite 202, Lithonia GA 30058-1884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vicks, Sherell Denise can be contacted via phone (770) 808-0092.

Contact Information

Primary practice address
5910 Hillandale Dr Suite 202 Lithonia GA 30058-1884
Phone: (770) 808-0092
Fax: (770) 808-0380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 034265 Georgia

Profile Details

NPI number 1932251253
LBN Legal business name Vicks, Sherell Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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 1932251253 NPPES
Georgia MEDICAID 00641935C

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