Individual provider · Type 1 NPI
Matthew Vickers
Student in an Organized Health Care Education/Training Program · Scottsboro, AL
NPI number
1114557626
Active
Practice location
3207 Hillcrest Dr
Scottsboro, AL 35769-6421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | S12747 (AL) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1114557626
Matthew Vickers's National Provider Identifier is 1114557626, issued on Jan 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scottsboro, AL. The record was last updated on Jan 23, 2020.