Individual
MR. DWAYNE F. MCVICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4206
SC
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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