DR. Sherell Denise Vicks, M.D.

NPI #1932251253 in Lithonia, Georgia

Provider Information

NPI Number: 1932251253
Entity Type: Individual
Name: DR. Sherell Denise Vicks, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5910 HILLANDALE DR
Address 2: SUITE 202
City: Lithonia
State: Georgia
ZIP Code: 30058-1884
Phone: (770) 808-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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