Provider Demographics
NPI:1730504499
Name:CRAWFORD, ROBIN (RN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 N HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29697-1061
Mailing Address - Country:US
Mailing Address - Phone:864-847-4333
Mailing Address - Fax:864-847-3529
Practice Address - Street 1:803 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:SC
Practice Address - Zip Code:29697-1061
Practice Address - Country:US
Practice Address - Phone:864-847-4333
Practice Address - Fax:864-847-3529
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC79691163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1104973577Medicaid