ALLEN MICAJAH VICKERS

WINDER, GA
NPI1396317855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN122424)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
ALLEN MICAJAH VICKERS DMD
369 E BROAD ST
WINDER, GA 30680-2278
Phone number: 770-867-2277
Mailing Address
ALLEN MICAJAH VICKERS DMD
369 E BROAD ST
WINDER, GA 30680-2278
Phone number: 770-867-2277
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