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Dr. Jason Malcolm Crandell, MD
Specialist in Clemmons, North Carolina
NPI 1255349098

Jason Malcolm Crandell is a Specialist based in Clemmons, NC. Jason Malcolm Crandell practices in Clemmons, NC and has the professional credentials of MD. The NPI Number for Jason Malcolm Crandell is 1255349098 and holds a License No. 23500 (North Carolina).

The current practice location address for Jason Malcolm Crandell is 2511 Neudorf Rd Ste D, Clemmons, NC and can be reached out via phone at 336-778-0506 and via fax at 336-778-0570.

Location: 2511 Neudorf Rd Ste D, Clemmons, NC, 27012-1741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255349098
Provider Name
Jason Malcolm Crandell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2511 Neudorf Rd Ste D, Clemmons, NC, 27012-1741
Phone Number
336-778-0506
Fax Number
336-778-0570
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73006 01 NC MEDCOST
8925220 05 NC
MR109 01 NC BLUE CROSS EMPIRE
05667001 01 NC MAGELLAN
1504998 01 NC UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
2511 Neudorf Rd Ste D
City
Clemmons
State
North Carolina
Zip
27012-8922
Phone Number
336-778-0506
Fax Number
336-778-0570
person
Provider Business Mailing Address Details
Address
2511 Neudorf Rd Ste D
City
Clemmons
State
North Carolina
Zip
27012-8922
Phone Number
336-778-0506
Fax Number
336-778-0570
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
23500 (North Carolina)
Definition
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.
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