Michael L Vick
Otolaryngologist (ENT Doctor)
504 W Memorial Dr
Dallas
, Georgia 30132-4119
Michael L Vick
Otolaryngologist (ENT Doctor)
504 W Memorial Dr
Dallas
, Georgia 30132-4119
(770) 793-7413
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Michael L Vick
- 504 W Memorial Dr
- Dallas, GA
- Zip : 30132-4119
- Fax : (770) 793-7413
- Phone : (770) 505-7190
Second Address
- Michael L Vick
- 504 W Memorial Dr
- Dallas, GA
- Zip : 30132-4119
- Fax : (770) 793-7413
- Phone : (770) 505-7190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 044656 | GA |
National Provider Identifier
| NPI | 1073503165 |
|---|---|
| Provider Name | Michael L Vick |
| First Address | Dallas, GA 30132-4119 |
| Second Address | Dallas, GA 30132-4119 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.