Healthcare Provider Details

I. General information

NPI: 1174148282
Provider Name (Legal Business Name): CAROLINE CROWE ALLEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5921 W FRIENDLY AVE STE D
GREENSBORO NC
27410-3268
US

IV. Provider business mailing address

5921 W FRIENDLY AVE STE D
GREENSBORO NC
27410-3268
US

V. Phone/Fax

Practice location:
  • Phone: 336-551-5830
  • Fax:
Mailing address:
  • Phone: 336-551-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2024-00144
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2024-00144
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: