Individual
DR. CRAIG ANDREW STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 301, COLUMBIA, SC 29203-8003
(803) 255-3400
(803) 255-3420
Mailing address
PO BOX 1218, WINNSBORO, SC 29180-5218
(803) 815-5568
(803) 635-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
14376
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
14376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143767
—
SC
Enumeration date
03/28/2006
Last updated
05/29/2018
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