Stacee Vickers is a Pediatrics in Lawrenceville, Georgia. Stacee Vickers practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacee Vickers is 1386711067. The last update date is 2007-07-09.
Stacee Vickers's current location address is 1092 Adah Ln, Lawrenceville, Georgia. You can contact this provider via phone number 6786189022. The mailing address for Stacee Vickers is 1092 Adah Ln, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacee Vickers |
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Address | 1092 Adah Ln, Lawrenceville, Georgia |
Phone Number | 6786189022 |
Fax Number | |
Sole Proprietor | Y |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1386711067 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1092 Adah Ln |
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City | Lawrenceville |
State | Georgia (GA) |
Post Code | 300437225 |
Phone Number | 6786189022 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 4817 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
307933 | GA | WELLCARE PROVIDER # | |
00776993D | GA | -- | |
10037646 | GA | AMERIGROUP PROVIDER # |
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What is the unique identifier code issued to Stacee Vickers by the Centers for Medicare & Medicaid Services (CMS)?
The Stacee Vickers has been assigned the NPI (National Provider Identifier) 1386711067. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Stacee Vickers's facilities are geographically located?
The facilities of Stacee Vickers are physically situated at the following location: 1092 Adah Ln, Lawrenceville, GA, 300437225.
What is the Stacee Vickers's area of specialization and corresponding taxonomy classification?
The Stacee Vickers's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
When did Stacee Vickers receive its 1386711067 assignment?
The Stacee Vickers was assigned its 1386711067 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Stacee Vickers most recently updated?
The details pertaining to the Stacee Vickers, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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