Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayla Vansickle, CNIM

Individual provider Clinical Neurophysiology Physician · NPI 1790368421

Ayla Vansickle, CNIM is a Clinical Neurophysiology Physician in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

1304 Sunset Blvd # 203
West Columbia, SC 29169-5914
Phone: (888) 851-3677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence 4590 (SC)

Record details

NPI number1790368421
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNIM
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021

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