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Individual

JAMES DERRICK CALVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
200 PATEWOOD DR STE B100, GREENVILLE, SC 29615-6320
(864) 232-7338
Mailing address
210 DURSELY DR, ANDERSON, SC 29621-3670
(864) 723-5688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3901
SC
367500000X
Certified Registered Nurse Anesthetist
88761
SC

Other

Enumeration date
05/28/2009
Last updated
03/17/2018
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