Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 83617 | SC |
N | 208000000X | Pediatrician | MD.34485 | AL |
N | 2080P0204X | Pediatric Emergency Doctor | MD.34485 | AL |
NPI | 1679993125 |
---|---|
Provider Name | Erika Bishop Crawford |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
836171 | (05) | SC |