Stuck, Craig Andrew

Stuck, Craig Andrew is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 301, Columbia SC 29203-8003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Stuck, Craig Andrew can be contacted via phone (803) 255-3400.

Contact Information

Primary practice address
15 Medical Park Rd Suite 301 Columbia SC 29203-8003
Phone: (803) 255-3400
Fax: (803) 255-3420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14376 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 14376 South Carolina

Profile Details

NPI number 1386604783
LBN Legal business name Stuck, Craig Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 29th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386604783 NPPES
South Carolina MEDICAID 143767

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