Individual
DR. THOMAS ADAM CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 CALHOUN STREET, CHARLESTON, SC 29401-1113
(843) 724-2010
(843) 724-2005
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-063448
IL
207P00000X
Emergency Medicine Physician
Primary
84157
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841575
—
SC
Enumeration date
06/07/2013
Last updated
10/29/2020
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