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1770147969
JUSTIN WAYDE VICKERY
LOUISVILLE, KY
NPI
1770147969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: KY TP087)
Enumeration Date
2019-04-24
Last Update Date
2024-07-01
Business Address
Dr. JUSTIN WAYDE VICKERY MD
210 E GRAY ST STE 900
LOUISVILLE, KY 40202-3905
Phone number: 502-584-7525
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Mailing Address
Dr. JUSTIN WAYDE VICKERY MD
MEDICAL CENTER EAST SOUTH TOWER SUITE 4200
NASHVILLE, TN 37232-0001
Phone number: 615-936-7846
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