Provider Demographics
NPI:1144225228
Name:CRAIGIE, JAMES ERNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERNEST
Last Name:CRAIGIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 HOSPITAL DR STE 120
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3204
Mailing Address - Country:US
Mailing Address - Phone:843-849-8418
Mailing Address - Fax:843-849-8419
Practice Address - Street 1:1300 HOSPITAL DR
Practice Address - Street 2:STE 120
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3261
Practice Address - Country:US
Practice Address - Phone:843-388-0660
Practice Address - Fax:843-849-8419
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD17862208200000X
SC178622086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H25233Medicare UPIN