Crawford, Rebecca G.

Crawford, Rebecca G. is an individual health care provider with primary practice located at 394 Singleton Ridge Rd , Conway SC 29526-9150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crawford, Rebecca G. can be contacted via phone (843) 347-8765.

Contact Information

Primary practice address
394 Singleton Ridge Rd Conway SC 29526-9150
Fax: (843) 347-3499
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18729 South Carolina

Profile Details

NPI number 1801212113
LBN Legal business name Crawford, Rebecca G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2014
Last updated Feb 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801212113 NPPES
South Carolina Other 1082304 WELLCARE
South Carolina Other 80023023 WELLCARE
South Carolina Other P01383226 WELLCARE
South Carolina Other 7151951 WELLCARE
South Carolina Other 30177579 WELLCARE
South Carolina MEDICAID NP2744 WELLCARE

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