Individual provider · Type 1 NPI

Shelley S. Crawford, PA

Surgical Physician Assistant · West Columbia, SC

NPI number 1205480803 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Call (703) 989-0471 Map

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XPA3351 (SC)
Surgical Physician Assistant Primary 363AS0400X3351 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1205480803

Shelley S. Crawford, PA's National Provider Identifier is 1205480803, issued on Jul 31, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Columbia, SC. The record was last updated on Oct 21, 2020.