Individual
MR. CHARLES DENNIS CRISP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
Mailing address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5014266
NC
363LF0000X
Family Nurse Practitioner
Primary
5014266
NC
Other
Enumeration date
03/30/2021
Last updated
08/25/2022
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