Provider Demographics
NPI:1619108859
Name:HOWELL, VICKI ANN (MT (ASCP))
Entity Type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:ANN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MT (ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 KIMBALL DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571-1911
Mailing Address - Country:US
Mailing Address - Phone:843-423-6155
Mailing Address - Fax:
Practice Address - Street 1:211 KIMBALL DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-1911
Practice Address - Country:US
Practice Address - Phone:843-423-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC108727246QL0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management