Organization
SUSAN S. CROCKER, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S CROCKER M.D. (OWNER)
(842) 408-2945
Entity
Organization
Contact information
Practice address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 821-2480
(843) 875-3149
Mailing address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 821-2480
(843) 875-3149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD9308
SC
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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