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1366896656
EMILY FERRARA CROCKETT
CHARLESTON, SC
NPI
1366896656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20094)
Enumeration Date
2016-04-22
Last Update Date
2016-04-25
Business Address
-- EMILY FERRARA CROCKETT NP
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-3167
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Mailing Address
-- EMILY FERRARA CROCKETT NP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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