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Individual

CRYSTAL MARIE CMEYLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 522-4880
(864) 522-4885
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23067
SC
363LF0000X
Family Nurse Practitioner
Primary
23067
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2690
SC
05
NP6290
SC
Enumeration date
10/08/2019
Last updated
11/03/2025
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