# WICKISER REHAB & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053740852
- **Authorized official:** CLIFTON W WICKISER D.C. (PRESIDENT/OWNER)
- **Authorized official phone:** (864) 224-0246

## Contact information

- **Practice address:** 3618 E RIVER ST, ANDERSON, SC 29621-7334
- **Practice address phone:** (864) 224-0246
- **Practice address fax:** (864) 224-2524
- **Mailing address:** 3618 E RIVER ST, ANDERSON, SC 29621-7334
- **Mailing address phone:** (864) 224-0246
- **Mailing address fax:** (864) 224-2524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD14473 | SC | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 05/22/2024