SearchSouth Carolina2278H0200X

Johnathan Vickers, CRT

NPI 1275891673 · on the registry since 2012 · sole proprietor

Practice

Address
619 Creighton Dr
Taylors, SC 29687
Phone
(864) 438-6405

Registry record

Primary taxonomy
2278H0200X
2278H0200X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina