Individual
VICKI R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
(864) 454-8265
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.126659
OH
207Q00000X
Family Medicine Physician
Primary
39824
SC
390200000X
Student in an Organized Health Care Education/Training Program
LL39824
SC
Other
Enumeration date
04/04/2012
Last updated
11/20/2024
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