LISA VICKERY

MONROE, GA
NPI1336660455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  25683)
Enumeration Date2017-06-28
Last Update Date2017-06-28
Business Address
LISA VICKERY
321 WOODLAND RD
MONROE, GA 30655-2021
Phone number: 770-267-3918
Mailing Address
LISA VICKERY
PO BOX 551
MONROE, GA 30655-0551
Phone number:
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