| James J Crosswell Jr Md Pa | |
|
97 Campen Road Beaufort NC 28516 | |
| (252) 728-3875 | |
| (252) 728-3594 |
| Full Name | James J Crosswell Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 97 Campen Road, Beaufort, North Carolina |
| Authorized Official Name and Position | James Jaquelin Crosswell (PRESIDENT) |
| Authorized Official Contact | 2527283875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Crosswell Jr Md Pa 97 Campen Road Beaufort NC 28516 Ph: (252) 728-3875 | James J Crosswell Jr Md Pa 97 Campen Road Beaufort NC 28516 Ph: (252) 728-3875 |
| NPI Number | 1003915018 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 2466356449 |
|---|---|
| Medicare Enrollment ID | O20031121000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003915018 | NPI | - | NPPES |
| 8925970 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28568 (North Carolina) | Primary |
| Provider Name | James J Crosswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407900673 PECOS PAC ID: 0345144325 Enrollment ID: I20031125000924 |
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