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Individual

DR. CHARLES HARMON CRAWFORD JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1236 EBENEZER RD, STE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128
Mailing address
1236 EBENEZER RD, STE 110, ROCK HILL, SC 29732-2300
(803) 324-7540
(803) 324-4128

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0255
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
444824
SC
Enumeration date
07/12/2005
Last updated
07/08/2007
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