Mccravy, Stephanie L

Mccravy, Stephanie L is an sole proprietor health care provider with primary practice located at 2858 Sunset Blvd Ste B , West Columbia SC 29169-3420. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccravy, Stephanie L can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
2858 Sunset Blvd Ste B West Columbia SC 29169-3420
Phone: (803) 699-9073
Fax: (803) 764-3215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X R95364 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3965 South Carolina

Profile Details

NPI number 1629378054
LBN Legal business name Mccravy, Stephanie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2010
Last updated Jan 9th, 2019 - about 6 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 1629378054 NPPES
South Carolina Other R95364 NP LICENSE

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