Individual
MICHAEL WADE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCPRSS
Contact information
Practice address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
(864) 898-5804
Mailing address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
(864) 898-5804
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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