Individual
MR. ROBERT LINCOLN CRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 COLLEGE AVE, ORANGEBURG, SC 29115-4427
(803) 250-9645
(803) 533-3801
Mailing address
328 PLEASANT CREEK CT, LEXINGTON, SC 29073-9757
(803) 250-9645
(803) 533-3801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1261
SC
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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