Organization
VIZER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DIANNE BILLIE JACKSON NP (CO-OWNER)
(914) 359-7442
Entity
Organization
Contact information
Practice address
188 S PIKE E, SUMTER, SC 29150-2131
(914) 359-7442
Mailing address
PO BOX 141, SUMTER, SC 29151-0141
(914) 359-7442
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23707
NURSE PRACTITIONER LICENSE NUMBER
SC
Enumeration date
11/13/2021
Last updated
11/13/2021
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