Most Relevant Information
Provider Data
NPI Number: | 1003076829 |
Provider Name: | JAMES LEWIS CROSTHWAIT M.D. |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | 06104 |
Most Important Dates
Enumeration Date: | 06/16/2008 |
Last Updated: | 06/16/2008 |
Provider Practice Location
102 QUAIL HOLLOW PL
BRANDON
MS
390479295
Practice Location Phone/Fax
Phone: | 6019920000 |
Fax: |
Provider Mailing Location
102 QUAIL HOLLOW PL
BRANDON
MS
390479295
Provider Mailing Phone/Fax
Phone: | 6019920000 |
Fax: |