Individual
GLENN S CHRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1236 HUFFMAN MILL RD, SUITE 120, BURLINGTON, NC 27215-8700
(336) 538-7725
Mailing address
1236 HUFFMAN MILL RD, SUITE 120, BURLINGTON, NC 27215-8700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
32667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012J
BCBSNC
NC
05
—
7922488
—
NC
01
—
920003109
RAILROAD MEDICARE
NC
Enumeration date
07/12/2006
Last updated
09/17/2021
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