Individual
DR. JENNIFER RUTH CRANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3010 TRENWEST DR STE 200, WINSTON SALEM, NC 27103-3208
(336) 970-5300
(336) 970-5298
Mailing address
PO BOX 118008, N CHARLESTON, SC 29423-8008
(843) 407-0551
(843) 376-2680
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME28314
SC
2085N0904X
Nuclear Radiology Physician
ME28314
SC
2085P0229X
Pediatric Radiology Physician
ME28314
SC
2085R0202X
Diagnostic Radiology Physician
Primary
ME28314
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME28314
SC
2085U0001X
Diagnostic Ultrasound Physician
ME28314
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283142
—
SC
Enumeration date
08/08/2006
Last updated
06/21/2021
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