Individual provider · Type 1 NPI
Jason Malcolm Crandell, MD
Specialist · Clemmons, NC
NPI number
1255349098
Active
Practice location
2511 Neudorf Rd Ste D
Clemmons, NC 27012-8922
Fax (336) 778-0570
Mailing address
PO Box 1741
Clemmons, NC 27012-1741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 23500 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Clemmons
About NPI 1255349098
Jason Malcolm Crandell, MD's National Provider Identifier is 1255349098, issued on Aug 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clemmons, NC. The record was last updated on Jul 9, 2007.