MR. Johnathan C Vickers, CRT
NPI #1275891673 in Taylors, South Carolina
Provider Information
- NPI Number
- 1275891673
- Entity Type
- Individual
- Name
- MR. Johnathan C Vickers, CRT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Respiratory Therapist, Certified - Home Health
- Credential
- CRT
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 619 CREIGHTON DR
- City
- Taylors
- State
- South Carolina
- ZIP Code
- 29687-3623
- Phone
- (864) 438-6405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respiratory Therapist, Certified - Home Health — Home Health |
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Organizations
| Provider Name | |
|---|---|
| Lifeline Respiratory Services LLC | |
| Dph LLC Part of Dph LLC |
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