Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | 439 | NC |
Y | 213ES0131X | Foot Surgery | 552 | SC |
NPI | 1265472963 |
---|---|
Provider Name | Christopher H Crabtree |
First Address | Fort Mill, SC 29716-0337 |
Second Address | Rock Hill, SC 29732-9446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 21/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PD5523 | (05) | SC |
U85146 | (02) | SC |