Individual
KRYSTAL FOGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HUNTERS CT, LAURENS, SC 29360-2372
(185) 578-7266
Mailing address
1405 CHESTNUT STREET EXT, LAURENS, SC 29360-3011
(855) 787-2660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208623
SC
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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