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Jennifer Sue Vanvickle, MD
Diagnostic Radiology Physician in Raleigh, North Carolina
NPI 1356374680

Jennifer Sue Vanvickle is a Diagnostic Radiology Physician based in Raleigh, NC and is specialized in Diagnostic Radiology. Jennifer Sue Vanvickle practices in Raleigh, NC and has the professional credentials of MD. The NPI Number for Jennifer Sue Vanvickle is 1356374680 and holds a License No. 38724 (North Carolina).

The current practice location address for Jennifer Sue Vanvickle is 4420 Lake Boone Trl, Raleigh, NC and can be reached out via phone at 919-784-3023 and via fax at 919-784-3497.

Location: 4420 Lake Boone Trl, Raleigh, NC, 27607-3938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356374680
Provider Name
Jennifer Sue Vanvickle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4420 Lake Boone Trl, Raleigh, NC, 27607-3938
Phone Number
919-784-3023
Fax Number
919-784-3497
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8984724 05 NC
institution
Provider Business Practice Location Address Details
Address
4420 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7505
Phone Number
919-784-3023
Fax Number
919-784-3497
person
Provider Business Mailing Address Details
Address
4420 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7505
Phone Number
919-784-3023
Fax Number
919-784-3497
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
38724 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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