Individual
REBECCA MARIE VAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
908 SMITHFIELD WAY STE 101, FORT MILL, SC 29715-6956
(803) 220-2782
(803) 233-2968
Mailing address
908 SMITHFIELD WAY STE 101, FORT MILL, SC 29715-6956
(803) 220-2782
(803) 233-2968
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06634
NC
363A00000X
Physician Assistant
Primary
PA4658
SC
Other
Enumeration date
07/29/2016
Last updated
12/09/2024
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