Individual
VICKY PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1196
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-1196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315
SC
225100000X
Physical Therapist
PT011418
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147589A
—
GA
01
—
NPI #
MEDCOST
GA
05
—
TH1536
—
SC
Enumeration date
08/13/2009
Last updated
05/02/2025
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