ALLIE VICKERY FANT

ANDERSON, SC
NPI1760076780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  24615)
Enumeration Date2021-02-22
Last Update Date2023-10-31
Business Address
ALLIE VICKERY FANT APRN
821 N MAIN ST STE 12
ANDERSON, SC 29621-5544
Phone number: 864-365-6405
Mailing Address
ALLIE VICKERY FANT APRN
821 N MAIN ST STE 12
ANDERSON, SC 29621-5544
Phone number: 864-365-6405
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