MITCHAEL LEE VICKERS

ROSWELL, GA
NPI1437128857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN141647)
Enumeration Date2006-03-16
Last Update Date2010-11-18
Business Address
-- MITCHAEL LEE VICKERS CRNA
2500 HOSPITAL BLVD SUITE 480
ROSWELL, GA 30076-4975
Phone number: 678-762-0676
Mailing Address
-- MITCHAEL LEE VICKERS CRNA
1870 MAYFIELD RD
ALPHARETTA, GA 30009-1552
Phone number: 678-763-5144
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