Michael L. Vick
Otolaryngology (ENT) · Dallas, GA
UnclaimedNPI 1073503165
- Primary taxonomy
- 207Y00000X
- Enumerated
- 2005-10-28
- Practice location
- Dallas, GA
- Last NPPES update
- 2007-07-08
State licenses
- GA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.