Individual
NANCY ELIZABETH CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 TRICOM ST, NORTH CHARLESTON, SC 29406
(843) 863-8100
(843) 553-2122
Mailing address
2845 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 863-8100
(843) 553-2122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301077877
MI
207R00000X
Internal Medicine Physician
Primary
83254
SC
208000000X
Pediatrics Physician
4301077877
MI
208000000X
Pediatrics Physician
83254
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4771949-10
—
MI
Enumeration date
03/22/2006
Last updated
10/26/2019
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