MEDICARE: DR. CURTIS CRISWELL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN0400X	Neurology Chiropractor	5151	SC

General Provider Information

NPI Number	:	1013729672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS CRISWELL DC

Provider Business Mailing Address
First Line	:	1411 MARY ELLEN DR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	936 MARKET ST # 205-2
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6562
Country	:	US
Telephone Number	:	513-255-6863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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Directions to “ DR. CURTIS CRISWELL DC” Practice Location

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