Individual
DR. SUSAN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 851-5015
(843) 851-5029
Mailing address
225 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 851-5015
(843) 851-5029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9308
SC
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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