Vicky Mack, NP is a
Nurse Practitioner - Adult Health based in Orchard Hill, Georgia. Vicky Mack is licensed to practice in Georgia (license number RN066536) and her current practice location is
694 Etheridge Mill Road, Orchard Hill, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 584-0837.
NPI number for Vicky Mack is 1134592033 and her current mailing address is Po Box 72, Orchard Hill, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134592033.
Provider's Profile
Full Name | Vicky Mack |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 694 Etheridge Mill Road, Orchard Hill, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134592033
- Provider Enumeration Date: 11/02/2015
- Last Update Date: 11/02/2015
Medical Identifiers
Medical identifiers for Vicky Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134592033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | RN066536 (Georgia) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | RN066536 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vicky Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vicky Mack, NP Po Box 72, Orchard Hill, GA 30266-0072 Ph: (770) 584-0837 | Vicky Mack, NP 694 Etheridge Mill Road, Orchard Hill, GA 30266-0072 Ph: (770) 584-0837 |
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