Individual
ANDREW PAUL CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2014-00435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326241126
BLUE CROSS BLUE SHIELD
TX
05
—
308778501
—
TX
05
—
308778502
—
TX
Enumeration date
06/08/2007
Last updated
09/13/2020
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