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Contact Information

JOHN CREEKMORE, SA-C
8000 WATERFORD TIDE LOOP
#2931
CHARLOTTE, NC28226
 Phone: 336-425-5991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for JOHN CREEKMORE · (Male)

NPI # 1043508229
Status Active
Credentials SA-C
Entity Individual
Enumeration date 07/21/2011
Last updated 07/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3155
Hospital affiliation(s) Not Available
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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