Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DAVID VICKERY IV, M.D.
ActiveDR. JOHN DAVID VICKERY IV, M.D. is a Allergy & Immunology healthcare provider located in NEWNAN, Georgia. NPI 1336364793 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · NEWNAN, GA
Registration Details
- NPI Number
- 1336364793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.369956253159 yrs)
- Last Updated
- May 20, 2013
- Licenses
-
44948 (TN)44948 (TN)67624 (GA)67624 (GA)
Practice Information
- Address
-
37 CALUMET PKWYBUILDING F, SUITE 201NEWNAN, GA, 302636734Browse GA providers · Browse ZIP 30263
- Phone
- 7706834050
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.