Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHNATHAN C VICKERS, CRT
Active Sole ProprietorMR. JOHNATHAN C VICKERS, CRT is a 2278H0200X healthcare provider located in TAYLORS, South Carolina. NPI 1275891673 is currently active in the NPPES registry. Verify at CMS.
2278H0200X · TAYLORS, SC
Registration Details
- NPI Number
- 1275891673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2012 (14.266266525164 yrs)
- Last Updated
- Apr 24, 2012
- License
-
RCP3247 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 CREIGHTON DRTAYLORS, SC, 296873623Browse SC providers · Browse ZIP 29687
- Phone
- 8644386405
- Primary Specialty
-
2278H0200X
2278H0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.