Individual
CLIFTON WAYNE WICKISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3618 E RIVER ST, ANDERSON, SC 29621-7334
(864) 224-0246
(864) 224-2524
Mailing address
3618 E RIVER ST, ANDERSON, SC 29621-7334
(864) 224-0246
(864) 224-2524
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2599
—
SC
Enumeration date
11/06/2006
Last updated
06/15/2015
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