Individual
MRS. EMILY D CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 E BLACKSTOCK RD, MOORE, SC 29369-9656
(864) 576-8088
(864) 595-2418
Mailing address
1300 E BLACKSTOCK RD, MOORE, SC 29369-9656
(864) 576-8088
(864) 595-2418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62533
SC
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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