Doctor Name: | MR. NORMAN G. CREIGHTON |
NPI Number: | 1043343825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | |
Business Practice Address: | 675 N Matthews Rd Lake City, SC - 295607027 |
Business Phone Number: | 8433947600 |
Business Fax Number: | 8436614892 |
Mailing Address: | 125 E Cheves St, FLORENCE |
State: | SC |
Postal Code: | 295062526 |
Phone Number: | 8433174089 |
Fax Number: | 8433174096 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |