| Doctor Name: | MR. JOHNATHAN C VICKERS |
| NPI Number: | 1275891673 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRT |
| License Number: | RCP3247 |
| Business Practice Address: | 619 Creighton Dr Taylors, SC - 296873623 |
| Business Phone Number: | 8644386405 |
| Business Fax Number: | |
| Mailing Address: | 619 Creighton Dr, TAYLORS |
| State: | SC |
| Postal Code: | 296873623 |
| Phone Number: | 8644386405 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2012 |
| NPI Last Update Date: | 04/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2278H0200X |
| License Number: | RCP3247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Certified |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home. |