Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 0101253851 | VA |
NPI | 1124221981 |
---|---|
Provider Name | Shana Alexander Crabtree |
First Address | Winston Salem, NC 27104-2314 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 30/11/2016 |