Individual
DR. CLAIRE DECRISTOFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3101 BROWNS MILL RD, SUITE 6 # 303, JOHNSON CITY, TN 37604-4100
(828) 545-9406
Mailing address
PO BOX 18029, ASHEVILLE, NC 28814-0029
(828) 545-9406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
017986
SC
207Q00000X
Family Medicine Physician
Primary
14685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03546790168
ME NUMBER AMA
TN
Enumeration date
07/29/2005
Last updated
03/07/2023
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