Cmeyla, Crystal Marie
Cmeyla, Crystal Marie is an sole proprietor health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cmeyla, Crystal Marie can be contacted via phone (864) 522-4880.Contact Information
Primary practice address
701 Grove Rd
Greenville SC 29605-4210
Phone: (864) 522-4880
Fax: (864) 522-4885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23067 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 23067 | South Carolina |
Profile Details
| NPI number | 1083256382 |
|---|---|
| LBN Legal business name | Cmeyla, Crystal Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2019 |
| Last updated | Aug 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083256382 | NPPES |
| South Carolina | MEDICAID | NP6290 | |
| South Carolina | MEDICAID | NP2690 |
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