Individual
DR. CINDY CRITTENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1076 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2495
(843) 454-2294
(843) 454-2342
Mailing address
1076 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2495
(843) 454-2294
(843) 454-2342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157262
UNISON
SC
05
—
003604
—
SC
01
—
0204147
GHI/PPO
SC
01
—
407690
WELLCARE
SC
01
—
5953112
AETNA
SC
05
—
89065X7
—
NC
Enumeration date
07/18/2005
Last updated
09/13/2017
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