Healthcare Provider Details

I. General information

NPI: 1457233660
Provider Name (Legal Business Name): CHELSEA BRYNNE CRAYTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W MARKET ST FL 2
GREENSBORO NC
27403-1830
US

IV. Provider business mailing address

1100 W MARKET ST FL 2
GREENSBORO NC
27403-1830
US

V. Phone/Fax

Practice location:
  • Phone: 336-334-5662
  • Fax: 336-334-5754
Mailing address:
  • Phone: 336-334-5662
  • Fax: 336-334-5754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: