Individual
BRIAN R CRICHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Mailing address
204 BECKER DR, ROANOKE RAPIDS, NC 27870-3134
(252) 537-8193
(252) 537-0589
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101236455
VA
207W00000X
Ophthalmology Physician
Primary
200400660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010089701
—
VA
05
—
010311063
—
VA
01
—
137UE
BCBS OF NC
NC
01
—
146403
ANTHEM BCBS
VA
01
—
146404
ANTHEM BCBS
VA
05
—
89137UE
—
NC
01
—
I07378
UPIN
—
Enumeration date
10/17/2006
Last updated
11/11/2020
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