Individual
JILL R ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 716-7907
(864) 225-9035
Mailing address
PO BOX 1886, ANDERSON, SC 29622-1886
(864) 716-7907
(864) 225-9035
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R35535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0187
—
SC
Enumeration date
05/31/2005
Last updated
10/10/2007
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