Whalio Doctors

NPI 1720343346

Jessica Corral Delacruz, MD

Practitioner Pediatrics Physician North Augusta, SC

Practice location

Address
536 W Martintown Rd, North Augusta, SC 29841-1101
Phone
(803) 510-0007
Fax
(803) 510-0144

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 35149 (SC)

Registry record

NPI
1720343346
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2012
Record last updated
6 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.