person
Ms. Vicki M Blackwell, PA
Surgical Physician Assistant in Vestavia Hills, Alabama
NPI 1043235963

Vicki M Blackwell is a Surgical Physician Assistant based in Vestavia Hills, AL and is specialized in Surgical. Vicki M Blackwell practices in Vestavia Hills, AL and has the professional credentials of PA. The NPI Number for Vicki M Blackwell is 1043235963 and holds a License No. PA-104 (Alabama).

The current practice location address for Vicki M Blackwell is 2010 Patton Chapel Rd Ste 200, Vestavia Hills, AL and can be reached out via phone at 205-910-7599 and via fax at 205-208-9001.

Location: 2010 Patton Chapel Rd Ste 200, Vestavia Hills, AL, 35216-5784
person
Provider Profile Details
NPI Number
1043235963
Provider Name
Vicki M Blackwell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2010 Patton Chapel Rd Ste 200, Vestavia Hills, AL, 35216-5784
Phone Number
205-910-7599
Fax Number
205-208-9001
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051553463 05 AL
P00010094 01 AL RR MEDICARE
51514981BUR 01 AL BLUE CROSS OF ALABAMA
institution
Provider Business Practice Location Address Details
Address
2010 Patton Chapel Rd Ste 200
City
State
Zip
35216-5784
Phone Number
205-910-7599
Fax Number
205-208-9001
person
Provider Business Mailing Address Details
Address
2010 Patton Chapel Rd Ste 200
City
State
Zip
35216-5784
Phone Number
205-910-7599
Fax Number
205-208-9001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-104 (Alabama)
Definition
Definition to come...
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