Individual
MRS. MELODY PAIGE CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 LYNWOOD RD, WALTERBORO, SC 29488-3536
(843) 562-6272
Mailing address
205 LYNWOOD RD, WALTERBORO, SC 29488-3536
(803) 777-7412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24735
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
02/25/2021
Last updated
04/02/2021
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