Individual provider · Type 1 NPI

Victoria Mae Pregibon, PA-C

Surgical Physician Assistant · West Columbia, SC

NPI number 1992302988 Active

Practice location

2728 Sunset Blvd Ste 400
West Columbia, SC 29169-4872

Call (803) 936-7095 Map

Fax (803) 936-7908

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4806 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1992302988

Victoria Mae Pregibon, PA-C's National Provider Identifier is 1992302988, issued on Oct 3, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Columbia, SC. The record was last updated on Jan 12, 2024.