Individual
JODIENE SEREANA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 E BLACK CREEK RD, FLORENCE, SC 29506-7003
(843) 254-1174
Mailing address
630 E BLACK CREEK RD, FLORENCE, SC 29506-7003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5385514032
KS
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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