Doctor Name: | TERESA MCCRARY |
NPI Number: | 1568889079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28621 |
Business Practice Address: | 531 West Carolina Ave. West Varnville, SC - 29944 |
Business Phone Number: | 8039433878 |
Business Fax Number: | 8039431067 |
Mailing Address: | P.o. Box 37, Hampton County Health Departmen HAMPTON |
State: | SC |
Postal Code: | 29924 |
Phone Number: | 8039433878 |
Fax Number: | 8039431067 |
NPI Enumeration Date: | 03/21/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 28621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |