Individual
VICKIE STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 STATE PARK RD, WINDSOR, SC 29856-2162
(803) 571-3630
Mailing address
823 STATE PARK RD, WINDSOR, SC 29856-2162
(803) 571-3630
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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