Individual
JESSICA CORRAL DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
536 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-1101
(803) 510-0007
(803) 510-0144
Mailing address
536 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-1101
(803) 510-0007
(803) 510-0144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35149
SC
Other
Enumeration date
07/10/2012
Last updated
07/06/2015
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