Individual
DR. SAKEITHA L'TIA CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104-5071
(336) 718-4510
(336) 718-4519
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-01520
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913899
—
NC
Enumeration date
03/06/2008
Last updated
06/16/2022
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