Individual
MS. CRYSTAL J. COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
13 CLUB DR, GREENVILLE, SC 29605-1205
(864) 255-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159119A
—
GA
01
—
1068772
WELLCARE
SC
01
—
30210120
FIRSTCHOICE, SELECT HEALTH
SC
05
—
AN1402
—
SC
01
—
NPI #
BLUE CHOICE COMMERCIAL PLANS
SC
Enumeration date
06/20/2007
Last updated
07/06/2015
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