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Individual

TATYANA KRYACHKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
300 JOHN ST STE 4B, GREER, SC 29651-1463
(864) 334-7727
Mailing address
300 JOHN ST STE 4B, GREER, SC 29651-1463
(864) 334-7727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30033
SC
363LF0000X
Family Nurse Practitioner
SP019246
PA
363LP2300X
Primary Care Nurse Practitioner
SP019246
PA

Other

Enumeration date
09/21/2018
Last updated
08/03/2026
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