Individual
DR. DONALD W MCVICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
1064 GARDNER LANE, SUITE 103, CHARLESTON, SC 29407
(843) 766-5070
(843) 763-7348
Mailing address
1064 GARDNER LANE, SUITE 103, CHARLESTON, SC 29407
(843) 766-5070
(843) 763-7348
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2119
SC
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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