Individual
BONNIE L. CRICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 CARNES CROSSING BLVD STE B, SUMMERVILLE, SC 29486
(843) 212-8080
(843) 203-2299
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248853
UNISON
SC
01
—
003
BCBS
SC
01
—
032
TRICARE
SC
01
—
034
TRICARE
SC
01
—
061
BLUECHOICE
SC
01
—
063
BLUECHOICE
SC
05
—
118036
—
SC
01
—
20079153
SELECT HEALTH
SC
01
—
211988
MEDCOST
SC
01
—
5208053
AETNA
SC
05
—
5910323
—
NC
01
—
6201460
CIGNA
SC
01
—
B924498552
MEDICARE PTAN
SC
Enumeration date
11/08/2005
Last updated
10/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us