Individual
CRYSTAL MARIE KOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3817 MAIN ST, LORIS, SC 29569-3017
(843) 663-8000
Mailing address
PO BOX 547, FAISON, NC 28341-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020044
NC
363LF0000X
Family Nurse Practitioner
Primary
26579
SC
363LF0000X
Family Nurse Practitioner
5020044
NC
363LF0000X
Family Nurse Practitioner
6578490-4405
UT
Other
Enumeration date
07/07/2021
Last updated
03/10/2026
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