Individual
ALLIE VICKERY FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
821 N MAIN ST STE 12, ANDERSON, SC 29621-5544
(864) 365-6405
(833) 471-5951
Mailing address
821 N MAIN ST STE 12, ANDERSON, SC 29621-5544
(864) 365-6405
(833) 471-5951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24615
SC
Other
Enumeration date
02/22/2021
Last updated
04/23/2025
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