Individual
MRS. CRYSTAL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 E PEARL ST, LAMAR, SC 29069-9355
(843) 326-5347
(843) 326-1086
Mailing address
204 E PEARL ST, LAMAR, SC 29069-9355
(843) 326-5347
(843) 326-1086
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
211504
SC
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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