Individual
THOMAS BOYD CRAFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PRISMA HEALTH MEDICAL GROUP SURGERY CENTER, 2 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203
(803) 545-5800
(803) 928-9492
Mailing address
PRISMA HEALTH MEDICAL GROUP SURGERY CENTER, 2 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203
(803) 545-5800
(803) 928-9492
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL86152
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/19/2021
Last updated
08/02/2021
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