Organization
VIZER WELLNESS CLINIC LLC
Active
Other names
Vizer Medical Clinic, Vizer Psych Health, Vizer Wellness and Weight Loss, Vizer Mobile Health, Vizer Wellness, Vizer OccuMed
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DIANNE BILLIE JACKSON APRN (OWNER)
(803) 580-4747
Entity
Organization
Contact information
Practice address
7356 GARNERS FERRY RD STE 128, COLUMBIA, SC 29209-2146
(803) 580-4747
Mailing address
PO BOX 141, SUMTER, SC 29151-0141
(803) 580-4747
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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