Vick, Douglas Todd

Vick, Douglas Todd is an individual health care provider with primary practice located at 100 W Liberty St , Sumter SC 29150-5142. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vick, Douglas Todd can be contacted via phone (864) 635-0376.

Contact Information

Primary practice address
100 W Liberty St Sumter SC 29150-5142
Phone: (864) 635-0376
Fax: (864) 442-6848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 555 South Carolina

Profile Details

NPI number 1043385123
LBN Legal business name Vick, Douglas Todd
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Feb 13th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043385123 NPPES
South Carolina MEDICAID 1925PA

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