Individual
DR. GREGORY HANNIBAL CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E CORNWALLIS DR STE G, GREENSBORO, NC 27405
(336) 763-1101
(866) 959-7250
Mailing address
PO BOX 7432, GREENSBORO, NC 27417-0432
(803) 356-2888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25487
NC
207LA0401X
Addiction Medicine (Anesthesiology) Physician
25487
NC
208D00000X
General Practice Physician
25487
NC
208VP0000X
Pain Medicine Physician
25487
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
25487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25721
BCBS OF NC
NC
05
—
8925721
—
NC
Enumeration date
07/07/2006
Last updated
07/11/2018
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