# JAMES J CROSSWELL JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003915018
- **Authorized official:** DR. JAMES JAQUELIN CROSSWELL JR. MD (PRESIDENT)
- **Authorized official phone:** (252) 728-3875

## Contact information

- **Practice address:** 97 CAMPEN ROAD, BEAUFORT, NC 28516
- **Practice address phone:** (252) 728-3875
- **Practice address fax:** (252) 728-3594
- **Mailing address:** 97 CAMPEN ROAD, BEAUFORT, NC 28516
- **Mailing address phone:** (252) 728-3875
- **Mailing address fax:** (252) 728-3594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28568 | NC | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 07/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8925970 | — | NC |