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1538165287
JAY ANTON CROCKETT
GREENVILLE, SC
NPI
1538165287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: SC 20317)
Enumeration Date
2005-06-27
Last Update Date
2018-02-02
Business Address
JAY ANTON CROCKETT M.D.
60 BEAR DR
GREENVILLE, SC 29605-4458
Phone number: 864-269-5500
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Mailing Address
JAY ANTON CROCKETT M.D.
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6303
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