Individual provider · Type 1 NPI

Montaja McMullen-Crockett

Student in an Organized Health Care Education/Training Program · Rock Hill, SC

NPI number 1386567287 Active

Practice location

764 Vale Ct
Rock Hill, SC 29730-7815

Call (803) 579-5911 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386567287

Montaja McMullen-Crockett's National Provider Identifier is 1386567287, issued on Jul 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rock Hill, SC. The record was last updated on Jul 30, 2026.