Individual
MRS. VICKI CLINTON GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1550 CAROLINA AVE, ORANGEBURG, SC 29115-4944
(803) 533-7160
Mailing address
2172 MIDDLETON STREET, ORANGEBURG, SC 29115
(803) 534-4123
(803) 533-7134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 181
SC
Other
Enumeration date
06/10/2005
Last updated
07/08/2007
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