Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD GRANT VICK SR., M.D.
Active Sole ProprietorDR. EDWARD GRANT VICK SR., M.D. is a Otolaryngology healthcare provider located in RIDGELAND, Mississippi. NPI 1548548217 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · RIDGELAND, MS
Registration Details
- NPI Number
- 1548548217
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2011 (15.077666413039 yrs)
- Last Updated
- Jul 29, 2011
- Licenses
-
11522 (MS)MD8764 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
360 RED EAGLE CIRRIDGELAND, MS, 391579775Browse MS providers · Browse ZIP 39157
- Phone
- 6018561451
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
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.