Organization
HOME MEDICAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CROXTON (CORPORATE LIAISON)
(803) 786-1588
Entity
Organization
Contact information
Practice address
168 COLUMBIA CLUB DR W, BLYTHEWOOD, SC 29016-9458
(803) 786-1588
(803) 735-0682
Mailing address
168 COLUMBIA CLUB DR W, BLYTHEWOOD, SC 29016-9458
(803) 786-1588
(803) 735-0682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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