Individual
MISS STACI CROCKER MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18754
SC
363LF0000X
Family Nurse Practitioner
3007660
KY
Other
Enumeration date
09/06/2012
Last updated
04/11/2014
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