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Contact Information

AMY H CROCKETT, MD
890 W FARIS RD
STE 470
GREENVILLE, SC29605-4281
 Phone: 864-455-1600
 Fax: 864-455-3095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for AMY H CROCKETT · (Female)

NPI Number 1568550937
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 09/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 29528
  • SC Medicaid 295282
Hospital affiliation(s)
  • PIEDMONT HOSPITAL - (Acute Care)
    1968 PEACHTREE RD NW
    ATLANTA, GA 30309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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