Individual
MRS. LAKOYA GRATIC CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 OSPREY NEST CT, BLYTHEWOOD, SC 29016-8024
(803) 381-7549
Mailing address
132 OSPREY NEST CT, BLYTHEWOOD, SC 29016-8024
(803) 381-7549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
87522
SC
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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