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Individual

DR. JAMES LEWIS CROSTHWAIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 QUAIL HOLLOW PL, BRANDON, MS 39047-9295
(601) 992-0000
Mailing address
102 QUAIL HOLLOW PL, BRANDON, MS 39047-9295
(601) 992-0000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06104
MS

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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