Individual
JOHN JOSEPH MCCROSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3510 N HIGHWAY 17 STE 105, MT PLEASANT, SC 29466-8228
(843) 789-1850
(843) 724-2551
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17878
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
17878
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178783
—
SC
01
—
5551
MEDICARE GROUP NUMBER
—
01
—
GP4854
MEDICAID GROUP #
SC
01
—
P00605881
RAILROAD MEDICARE ID#
SC
01
—
P00952998
RAILROAD MC ID-RSFPN
SC
Enumeration date
07/12/2006
Last updated
11/17/2025
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