Individual
RANDALL VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
Mailing address
1012 BERN CIR, ANDERSON, SC 29626-5401
(864) 314-4284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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