Individual
ROLAND RHYSTMAS CRAFT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23879
SC
2086S0129X
Vascular Surgery Physician
23879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238790
—
SC
Enumeration date
03/27/2007
Last updated
10/21/2020
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