Crouch, Haley Dotson

Crouch, Haley Dotson is an individual health care provider with primary practice located at 534 Woods Lake Rd , Greenville SC 29607. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Crouch, Haley Dotson can be contacted via phone (864) 720-2739.

Contact Information

Primary practice address
534 Woods Lake Rd Greenville SC 29607
Phone: (864) 720-2739
Fax: (864) 720-2740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 1329 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1329 South Carolina

Profile Details

NPI number 1891951794
LBN Legal business name Crouch, Haley Dotson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Jan 26th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891951794 NPPES
South Carolina MEDICAID 1040PA

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