Individual
MR. JOHN CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
8000 WATERFORD TIDE LOOP, #2931, CHARLOTTE, NC 28226
(336) 425-5991
Mailing address
8000 WATERFORD TIDE LOOP, #2931, CHARLOTTE, NC 28226
(336) 425-5991
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3155
OH
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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