Individual
CRYSTAL CLARK KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4611
(252) 744-2006
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4611
(252) 744-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-01756
NC
207Q00000X
Family Medicine Physician
Primary
83909
SC
Other
Enumeration date
06/23/2011
Last updated
07/28/2020
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