BRIAN SCOTT VICKERY

LAGRANGE, GA
NPI1588986335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN204160)
Enumeration Date2010-02-22
Last Update Date2021-01-27
Business Address
Mr. BRIAN SCOTT VICKERY CRNA
1514 VERNON RD
LAGRANGE, GA 30240-4131
Phone number: 706-882-1411
Mailing Address
Mr. BRIAN SCOTT VICKERY CRNA
3025 HIGHWAY 154 BLDG B
NEWNAN, GA 30265-6121
Phone number: 770-251-2060
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