Healthcare Provider Details

I. General information

NPI: 1912860834
Provider Name (Legal Business Name): ANSLEY CROMER CLAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 HIGHWAY 72 221 E
GREENWOOD SC
29649-2916
US

IV. Provider business mailing address

1302 HIGHWAY 72 221 E
GREENWOOD SC
29649-2916
US

V. Phone/Fax

Practice location:
  • Phone: 864-223-1891
  • Fax: 864-223-4144
Mailing address:
  • Phone: 864-223-1891
  • Fax: 864-223-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67680
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: