Individual
JANETTA DELORES CROWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 CALHOUN ST, COLUMBIA, SC 29201-2562
(803) 691-0174
Mailing address
PO BOX 2791, BURLINGTON, NC 27216-2791
(336) 675-2894
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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