Organization
CRISSMAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDERS CRISSMAN M.D. (PRESIDENT)
(336) 226-2448
Entity
Organization
Contact information
Practice address
214 E ELM ST, GRAHAM, NC 27253-3022
(336) 226-2448
(336) 226-5894
Mailing address
214 E ELM ST, GRAHAM, NC 27253-3022
(336) 226-2448
(336) 226-5894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8925753
—
NC
Enumeration date
06/01/2006
Last updated
08/22/2020
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