Individual
RICHARD DENTON CRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 754-8921
(910) 754-7140
Mailing address
16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 754-8921
(910) 754-7140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18177
LICENSE NUMBER
SC
05
—
891053W
—
NC
01
—
9700913
MEDICAL LICENSE NUMBER
NC
01
—
P00053635
RAILROAD MEDICARE
NC
Enumeration date
11/04/2006
Last updated
12/19/2008
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