Individual
BRANDON JOSEPH CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 ROE RD, GREENVILLE, SC 29611-7423
(864) 295-2308
(864) 295-0396
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
90739
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907398
—
SC
Enumeration date
04/12/2011
Last updated
12/06/2023
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