Individual
GRETA H. CRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(855) 743-2247
(612) 688-6267
Mailing address
PO BOX 632, STANFIELD, NC 28163-0632
(704) 984-1817
(612) 688-6267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F09191855
NC
Other
Enumeration date
10/24/2019
Last updated
11/30/2020
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