Organization Name: | JCRK MANAGEMENT INC |
NPI Number: | 1013226745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E CRAIGIE (PRESIDENT) |
Mailing Address: | 1300 Hospital Dr Ste 120 Mt Pleasant |
State: | SC US |
Postal Code: | 294643261 |
Phone Number: | 8433880660 |
Fax Number: | 8438498419 |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |