MR. Clint A Crouse

NPI #1376611657 in Walterboro, South Carolina

Provider Information

NPI Number: 1376611657
Entity Type: Individual
Name: MR. Clint A Crouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 483 DANTZLER LN
City: Walterboro
State: South Carolina
ZIP Code: 29488-8986
Phone: (843) 844-2124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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