Individual
DUSTIN CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3601
(304) 766-3477
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 539-8000
(865) 694-5128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1901
WV
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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