Individual
MR. GERALD CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5793
Mailing address
3186 VILLAGE DR, STE 201, FAYETTEVILLE, NC 28304-3979
(910) 486-5700
(910) 486-5950
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-06997
NC
Other
Enumeration date
02/13/2017
Last updated
06/12/2019
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