Individual
VICKI L EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1120 GROVE RD, SUITE B, GREENVILLE, SC 29605-4656
(864) 455-8897
(864) 455-6598
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN164
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0036
—
SC
Enumeration date
08/28/2006
Last updated
06/03/2021
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