| NPI | 1568745149 |
|---|---|
| Doing Business As | CRISSMAN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT L GOLDSTEIN Executive Vice President 336-663-5001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2017-01-27 |