Krystal Foggie
Individual provider Active NPI Registered Nurse · Laurens, SC
NPI 1104244342 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1104244342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 208623 (SC)
- Practice address
- 113 Hunters CT
Laurens, SC 29360-2372 - Phone
- (185) 578-7266
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208623 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 208623 | SC | Yes |
Addresses
Primary practice location
113 Hunters CT
Laurens, SC 29360-2372
Mailing address
1405 Chestnut Street Ext
Laurens, SC 29360-3011
Phone (855) 787-2660
Other providers in Laurens, SC
- Faith Home Care Agency, LLC
- FC Midlands Laurens, LLC
- Nancy Feeney
- Flow Point Diagnostics
- Amy J Floyd
- Fortuity Flow Lab LLC
- Fortuity Flow Lab LLC
- Heather Hawkins Franklin
- Laura Barger Garrett
- Michael Gassen
All providers in Laurens, SC · Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.