Crafton, Charles J

Crafton, Charles J is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 350 , Columbia SC 29203-6896. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Crafton, Charles J can be contacted via phone (803) 434-1663.

Contact Information

Primary practice address
14 Richland Medical Park Dr Ste 350 Columbia SC 29203-6896
Phone: (803) 434-1663
Fax: (803) 434-3894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.002054 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-002054 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1989 South Carolina

Profile Details

NPI number 1629039847
LBN Legal business name Crafton, Charles J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jun 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629039847 NPPES
South Carolina MEDICAID 1724PA
South Carolina MEDICAID 95003851

Popular Providers