Individual
COREY K CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 EBENEZER RD STE 175, ROCK HILL, SC 29732-1188
(803) 324-5256
(803) 328-0440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(803) 324-5256
(803) 328-0440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12371
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123716
—
SC
Enumeration date
08/25/2006
Last updated
03/11/2015
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