NPI 1275891673
Johnathan C Vickers, CRT
Practice location
- Address
- 619 Creighton Dr, Taylors, SC 29687-3623
- Phone
- (864) 438-6405
Registered specialties
Home Health Certified Respiratory Therapist
Primary
Registry record
- NPI
- 1275891673
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2012
- Record last updated
- 24 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.