Gregory N Vickers in Hattiesburg - Vascular & Interventional Radiology
Gregory N Vickers - NPI 1760428569
Gregory N Vickers is a Vascular & Interventional Radiology in Hattiesburg, Mississippi. Gregory N Vickers practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Gregory N Vickers is 1760428569. The last update date is 2011-01-10.
Gregory N Vickers's current location address is 5000 W 4th St, Hattiesburg, Mississippi. You can contact this provider via phone number 6014500521 and fax number 6014500554. The mailing address for Gregory N Vickers is 5000 W 4th St, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory N Vickers |
|---|---|
| Address | 5000 W 4th St, Hattiesburg, Mississippi |
| Phone Number | 6014500521 |
| Fax Number | 6014500554 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760428569 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2011-01-10 |
Provider Mailing Address Detail
| Address | 5000 W 4th St |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394021000 |
| Phone Number | 6014500521 |
| Fax Number | 6014500554 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 12576 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123316 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gregory N Vickers by the Centers for Medicare & Medicaid Services?
The Gregory N Vickers has been issued the NPI (National Provider Identifier) 1760428569. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gregory N Vickers is physically located?
The Gregory N Vickers is situated at the following address: 5000 W 4Th St, Hattiesburg, MS 394021000.
What is Gregory N Vickers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory N Vickers's specialized field of practice is Vascular & Interventional Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760428569 to Gregory N Vickers?
The Centers for Medicare & Medicaid Services originally issued the 1760428569 to Gregory N Vickers on 2006-06-21.
As of what date were the details pertaining to Gregory N Vickers last refreshed?
The information related to the Gregory N Vickers, including its address, specialty, and other relevant details, was last updated on 2011-01-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY