Individual
CRYSTAL REIN DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
760 HIGHLAND OAKS DR STE 200, WINSTON SALEM, NC 27103-7114
(336) 277-4380
(336) 659-0659
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12331
NC
363A00000X
Physician Assistant
1193556
NC
Other
Enumeration date
06/23/2022
Last updated
01/09/2024
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