Individual
MICHELLE CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 2ND AVE STE 101, SUMMERVILLE, SC 29486-7889
(843) 737-9465
Mailing address
4975 LACROSS RD STE 150, NORTH CHARLESTON, SC 29406-6531
(843) 737-9467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2333
SC
363A00000X
Physician Assistant
MA055761
PA
363AM0700X
Medical Physician Assistant
2333
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2333
—
SC
Enumeration date
11/28/2012
Last updated
02/21/2025
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