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Individual
CRYSTAL ANTREASE MAXWELL
Active
Individual
CRYSTAL ANTREASE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32570
SC
207Q00000X
Family Medicine Physician
44539
TN
Other
Enumeration date
03/16/2007
Last updated
12/09/2020
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