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1043385123
DOUGLAS TODD VICK
WEST COLUMBIA, SC
NPI
1043385123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 555)
Enumeration Date
2006-11-22
Last Update Date
2024-08-22
Business Address
DOUGLAS TODD VICK PA-C
176 MCSWAIN DR
WEST COLUMBIA, SC 29169-4825
Phone number: 843-797-3636
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Mailing Address
DOUGLAS TODD VICK PA-C
9267 MEDICAL PLAZA DR STE G
N CHARLESTON, SC 29406-9139
Phone number: 843-797-3636
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