LARSON THOMAS VICKERY

CHARLOTTE, NC
NPI1477171494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-10264)
Enumeration Date2020-07-07
Last Update Date2023-05-30
Business Address
LARSON THOMAS VICKERY PA-C
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273-4179
Phone number: 980-302-8850
Mailing Address
LARSON THOMAS VICKERY PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-9414
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