| Doctor Name: | DR. VICKIE N HARRELL |
| NPI Number: | 1730155060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME0070385 |
| Business Practice Address: | 801 E 6th St Suite 204 Panama City, FL - 32401 |
| Business Phone Number: | 8509130018 |
| Business Fax Number: | 8509139137 |
| Mailing Address: | Po Box 1330, LYNN HAVEN |
| State: | FL |
| Postal Code: | 32444 |
| Phone Number: | 8509130018 |
| Fax Number: | 8509139137 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 01/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0070385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |