IndividualActive
Vivian Mathis
NPI 1619647336 · Community Health Worker · Dalzell, SC
Provider details
- NPI number
- 1619647336
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
337 Fat Back Rd
Dalzell, SC 29040-8548
Phone: (803) 459-7448
Approximate (ZIP-level) locationGet directions
Mailing address
337 Fat Back Rd
Dalzell, SC 29040-8548
Registry dates
- Enumerated
- 2021-09-14
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.