# TAKEY CRIST MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crist Clinic for Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326018847
- **Authorized official:** DR. TAKEY CRIST MD (OWNER PRESIDENT)
- **Authorized official phone:** (910) 353-2115

## Contact information

- **Practice address:** 250 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
- **Practice address phone:** (910) 353-2115
- **Practice address fax:** (910) 355-2422
- **Mailing address:** 250 MEMORIAL DR, JACKSONVILLE, NC 28546-6332
- **Mailing address phone:** (910) 353-2115
- **Mailing address fax:** (910) 355-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 40776 | NC | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 07/17/2013