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Contact Information

VICKIE GLOVER, PA
13649 CHURCH STREET
WILLISTON, SC29853
 Phone: 803-266-0060
 Fax: 803-266-0042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VICKIE GLOVER · (Female)

NPI Number 1386668648
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/27/2006
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 00047961
  • SC Medicaid 0020PA
  • SC Other P19236 MEDICARE
Hospital affiliation(s)
  • AIKEN REGIONAL MEDICAL CENTER - (Acute Care)
    302 UNIVERSITY PARKWAY
    AIKEN, SC 29801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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