Mitchael Lee Vickers, CRNA

NPI #1437128857 in Roswell, Georgia

Provider Information

NPI Number
1437128857
Entity Type
Individual
Name
Mitchael Lee Vickers, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Mar 16, 2006
Last Updated
Nov 18, 2010

Practice Location

Address
2500 HOSPITAL BLVD
Address 2
SUITE 480
State
Georgia
ZIP Code
30076-4975
Phone
(678) 762-0676

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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