Individual provider · Type 1 NPI

Bryant Douglas Vickers, DO

Student in an Organized Health Care Education/Training Program · Gainesville, GA

NPI number 1124812847 Active

Practice location

1439 Jesse Jewell Pkwy NE # 202
Gainesville, GA 30501-3806

Call (770) 219-9675 Map

Mailing address

743 Spring St NE # 710
Gainesville, GA 30501-3715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1124812847

Bryant Douglas Vickers, DO's National Provider Identifier is 1124812847, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on Apr 7, 2025.