Individual
WILLIAM FORT CROSSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 PICKENS ST, COLUMBIA, SC 29201
(803) 779-3070
(803) 771-7639
Mailing address
1920 PICKENS ST, COLUMBIA, SC 29201-2632
(803) 779-3070
(803) 771-7639
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
6356
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063567
—
SC
Enumeration date
05/12/2006
Last updated
08/17/2020
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