Crisp, Gregory Hannibal
Crisp, Gregory Hannibal is an individual health care provider with primary practice located at 500 E Cornwallis Dr Ste G , Greensboro NC 27405. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Crisp, Gregory Hannibal can be contacted via phone (336) 763-1101.Contact Information
Primary practice address
500 E Cornwallis Dr Ste G
Greensboro NC 27405
Phone: (336) 763-1101
Fax: (866) 959-7250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25487 | North Carolina |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 25487 | North Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25487 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 25487 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25487 | North Carolina |
Profile Details
| NPI number | 1558394437 |
|---|---|
| LBN Legal business name | Crisp, Gregory Hannibal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 11th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558394437 | NPPES |
| North Carolina | MEDICAID | 8925721 | |
| North Carolina | Other | 25721 |
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