Individual
JASON D CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 WELLNESS WAY, FORT MILL, SC 29715-7315
(803) 802-3662
Mailing address
3430 CAROLAND DR, FORT MILL, SC 29708-7884
(803) 203-3299
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
252695
SC
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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