Individual
VICTORIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
885 TIGER BLVD BLDG B, CLEMSON, SC 29631-1480
(864) 521-7257
Mailing address
11 LANTERN LN, GREER, SC 29651-1255
(865) 356-3577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5686
SC
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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