Individual
CRYSTAL ANN FRUTCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 IVEY LANE, SUITE B, PINEURST, NC 28374-9817
(910) 215-5210
(910) 215-5215
Mailing address
150 IVEY LANE, SUITE B, PINEURST, NC 28374-9817
(910) 215-5210
(910) 215-5215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07067
NC
Other
Enumeration date
03/02/2017
Last updated
09/18/2025
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