Michael L Vick
Michael L Vick is an Otolaryngology in Dallas, Georgia. Qualified in 1996, 30 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 30
- Licensed in
- GA
- In the registry since
- 2005
Practice location Address checks out
504 W Memorial DrDallas, GA 30132-4119
Phone: (770) 505-7190
Fax: (770) 793-7413
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 044656 (GA) |
|---|
Record details
| NPI number | 1073503165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 28, 2005 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 504 W Memorial Dr, Dallas, GA 30132-4119 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Wellstar Medical Group Llc — 3072 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Dallas
-
Wellstar Physicians Group ENT, LLC
504 W Memorial Dr, Dallas, GA 30132-4119 · (770) 505-7190