Ivey N Croker
NPI #1679037188 in Charleston, South Carolina
Provider Information
- NPI Number
- 1679037188
- Entity Type
- Individual
- Name
- Ivey N Croker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Jan 29, 2019
Practice Location
- Address
- 2100 CHARLIE HALL BLVD
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29414-5832
- Phone
- (843) 852-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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