Individual
LOREN ELAINE CRAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 THE PKWY STE N, GREER, SC 29650-5205
(864) 655-4005
Mailing address
12 THORNCLIFF CT, SIMPSONVILLE, SC 29681-6578
(570) 704-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2589
SC
363A00000X
Physician Assistant
50.003693
OH
Other
Enumeration date
01/12/2013
Last updated
02/23/2018
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