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Individual

JAMES ANTHONY CRISP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MEDICAL CENTER BLVD., WINSTON-SALEM, NC 27157
(336) 716-2011
Mailing address
2318 JAMES BOSWELL RD, BURLINGTON, NC 27217
(615) 713-8995

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016-01184
NC
390200000X
Student in an Organized Health Care Education/Training Program
NC

Other

Enumeration date
05/08/2012
Last updated
05/25/2017
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