Maxwell, Crystal Antrease
Maxwell, Crystal Antrease is an individual health care provider with primary practice located at 2021 Bridgemill Dr Suite 102, Fort Mill SC 29707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maxwell, Crystal Antrease can be contacted via phone (704) 594-1140.Contact Information
Primary practice address
2021 Bridgemill Dr Suite 102
Fort Mill SC 29707
Phone: (704) 594-1140
Fax: (219) 209-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44539 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32570 | South Carolina |
Profile Details
| NPI number | 1215061437 |
|---|---|
| LBN Legal business name | Maxwell, Crystal Antrease |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Dec 9th, 2020 - about 5 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.
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