Provider Demographics
NPI:1326130329
Name:LEVERETTE, BARBARA CRUM (RNC,WHNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CRUM
Last Name:LEVERETTE
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 MARGRAVE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5705
Mailing Address - Country:US
Mailing Address - Phone:803-254-7782
Mailing Address - Fax:
Practice Address - Street 1:4500 STUART ST
Practice Address - Street 2:GYN CLINIC
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-2283
Practice Address - Fax:803-751-0380
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC395363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health