TABATHA CROCKETT

GREENVILLE, SC
NPI1487171278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: SC  28148)
Enumeration Date2017-08-23
Last Update Date2022-07-21
Business Address
TABATHA CROCKETT
1401 LAURENS RD STE J
GREENVILLE, SC 29607-2364
Phone number: 864-605-7002
Mailing Address
TABATHA CROCKETT
1401 LAURENS RD STE J
GREENVILLE, SC 29607-2364
Phone number: 864-605-7002