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Contact Information

CAROLINE VICKERS, PHYSICIAN ASSISTANT
RADAR US ARMY HEALTH CLINIC
401 CARPENTER ROAD
FORT MYER, VA22211
 Phone: 703-696-3032
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAROLINE VICKERS · (Female)

NPI Number 1386113306
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 11/20/2018
Last updated 07/24/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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