Individual provider · NPI-1

Vicki E Allen, PA C

Physician Assistant · Charleston, SC

NPI number1811987407
StatusActive
Last updated in NPPESJul 15, 2010

Details

NPI
1811987407
Entity type
Individual (NPI-1)
Name
Mrs. Vicki E Allen
Credential
PA C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2005
Last updated
Jul 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantA 573SCYes

Practice location

171 Ashley Ave
Charleston, SC 29425-0100

Phone 843-792-1414

Mailing address

Po Box 751461
Charlotte, NC 28275-1461

Phone 843-792-6200

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