Provider Demographics
NPI:1982274775
Name:CRIMMINS, OLIVIA BLAIR (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:BLAIR
Last Name:CRIMMINS
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Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:875 LOWCOUNTRY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5452
Mailing Address - Country:US
Mailing Address - Phone:843-388-7545
Mailing Address - Fax:
Practice Address - Street 1:875 LOWCOUNTRY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-5452
Practice Address - Country:US
Practice Address - Phone:843-388-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2025-07-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant