Individual
PATRICIA CRUM-LISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11410 ANDERSON RD, GREENVILLE, SC 29611-7502
(864) 605-6321
(864) 269-5745
Mailing address
11410 ANDERSON RD, GREENVILLE, SC 29611-7502
(864) 605-6321
(864) 269-5745
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1321
SC
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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