Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 7728 | SC |
NPI | 1013283100 |
---|---|
Provider Name | Dr. Roland Francis Crane JR. |
First Address | Mt Pleasant, SC 29464-3603 |
Second Address | Mt Pleasant, SC 29464-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2012 |
Last Update Date | 22/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7728 | MEDICAL LICENSE NUMBER (01) | SC |