Corral Delacruz, Jessica
Corral Delacruz, Jessica is an individual health care provider with primary practice located at 536 W Martintown Rd , North Augusta SC 29841-1101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Corral Delacruz, Jessica can be contacted via phone (803) 510-0007.Contact Information
Primary practice address
536 W Martintown Rd
North Augusta SC 29841-1101
Phone: (803) 510-0007
Fax: (803) 510-0144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35149 | South Carolina |
Profile Details
| NPI number | 1720343346 |
|---|---|
| LBN Legal business name | Corral Delacruz, Jessica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2012 |
| Last updated | Jul 6th, 2015 - about 10 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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