Provider Demographics
NPI:1033443098
Name:CREAMER, ANITA WHITMIRE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:WHITMIRE
Last Name:CREAMER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LIONS CLUB RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:SC
Mailing Address - Zip Code:29831-3329
Mailing Address - Country:US
Mailing Address - Phone:803-471-3163
Mailing Address - Fax:
Practice Address - Street 1:106 LIONS CLUB RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:SC
Practice Address - Zip Code:29831-3329
Practice Address - Country:US
Practice Address - Phone:803-471-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1170174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist