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Contact Information

JUSTIN M CROFT, PA-C
934 DOUGHERTY RD
AIKEN, SC29803-6515
 Phone: 036-430-0588
 Fax: 803-643-1776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JUSTIN M CROFT · (Male)

NPI # 1770835522
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/03/2012
Last updated 12/21/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 008321
  • SC License # PA1895
  • SC Medicaid 1647PA
Hospital affiliation(s)
  • AIKEN REGIONAL MEDICAL CENTER - (Acute Care)
    302 UNIVERSITY PARKWAY
    AIKEN, SC 29801
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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