Individual
DENISE GROH CRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
633 BROOKDALE DR STE 100, STATESVILLE, NC 28677-3471
(704) 978-1144
(704) 978-1148
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101133
NC
363AM0700X
Medical Physician Assistant
101133
NC
Other
Enumeration date
05/03/2011
Last updated
11/06/2017
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