Individual
RUSTY RYAN CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
TAYLOR AT MARION STREETS, PALMETTO HEALTH BAPTIST, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2548
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2625
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1411
—
SC
Enumeration date
03/07/2006
Last updated
03/10/2022
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