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Contact Information

CRYSTAL A MAXWELL, MD
2021 BRIDGEMILL DR
SUITE 102
FORT MILL, SC29707
 Phone: 704-594-1140
 Fax: 219-209-5611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CRYSTAL A MAXWELL · (Female)

NPI Number 1215061437
Status Active
Credentials MD
Entity Individual
Enumeration date 03/16/2007
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 32570
  • TN License # 44539
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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