Mccreight, Jill Bagwell

Mccreight, Jill Bagwell is an individual health care provider with primary practice located at 807 N Main St , Travelers Rest SC 29690-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccreight, Jill Bagwell can be contacted via phone (864) 455-9150.

Contact Information

Primary practice address
807 N Main St Travelers Rest SC 29690-1551
Phone: (864) 455-9150
Fax: (864) 455-9236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19468 South Carolina

Profile Details

NPI number 1669851010
LBN Legal business name Mccreight, Jill Bagwell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated Jul 15th, 2024 - about 2 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 1669851010 NPPES
South Carolina MEDICAID NP3329

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