Crockett, Amy Hairston

Crockett, Amy Hairston is an individual health care provider with primary practice located at 890 W Faris Rd Ste 470, Greenville SC 29605-4281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Crockett, Amy Hairston can be contacted via phone (864) 455-1600.

Contact Information

Primary practice address
890 W Faris Rd Ste 470 Greenville SC 29605-4281
Phone: (864) 455-1600
Fax: (864) 455-3095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 29528 South Carolina

Profile Details

NPI number 1568550937
LBN Legal business name Crockett, Amy Hairston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 7th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568550937 NPPES
South Carolina MEDICAID 295282

Popular Providers