Individual
CRYSTAL DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 WOODRUFF RD, SIMPSONVILLE, SC 29681
(864) 627-7228
Mailing address
2580 WOODRUFF RD, SIMPSONVILLE, SC 29681-5447
(864) 627-7228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3473
—
SC
01
—
SC45905019
MEDICARE PIN
SC
01
—
SC45906067
MEDICARE PIN
SC
Enumeration date
10/21/2014
Last updated
01/30/2026
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