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1982616264
BRIAN C CRISP
FLORENCE, SC
NPI
1982616264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 1130)
Enumeration Date
2006-08-13
Last Update Date
2021-02-01
Business Address
BRIAN C CRISP PA
1005 E CHEVES ST
FLORENCE, SC 29506-2707
Phone number: 843-777-7900
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Mailing Address
BRIAN C CRISP PA
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-777-7092
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