Individual
REBECCA G. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-8765
(843) 236-4746
Mailing address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-8765
(843) 236-4746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18729
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082304
WELLCARE
SC
01
—
30177579
SELECT HEALTH
SC
01
—
7151951
AETNA
SC
01
—
80023023
SELECT HEALTH
SC
05
—
NP2744
—
SC
01
—
P01383226
RR MEDICARE
SC
Enumeration date
03/11/2014
Last updated
05/07/2026
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