Individual
DR. DANIEL LIND CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 NOELL LN, SUITE 105, ROCKY MOUNT, NC 27804-2058
(252) 451-2700
(252) 451-2702
Mailing address
325 BROAD ST, STE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 746-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16848
NC
207RH0003X
Hematology & Oncology Physician
16848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105986
FIRST HEALTH ID
NC
01
—
25771
BC BS OF NC ID
NC
01
—
451911
UNITED HEALTHCARE ID
NC
01
—
5928133
AETNA ID
NC
01
—
7106359
CIGNA HEALTHCARE ID
NC
05
—
8925771
—
NC
01
—
95350
MEDCOST ID
NC
Enumeration date
07/27/2005
Last updated
09/21/2018
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