Healthcare Provider Details

I. General information

NPI: 1730122565
Provider Name (Legal Business Name): GILES FRANKLIN CROWELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 KIMEL PARK DR SUITE 100
WINSTON-SALEM NC
27103-6983
US

IV. Provider business mailing address

1701 WESTCHESTER DRIVE SUITE 850
HIGH POINT NC
27262-7254
US

V. Phone/Fax

Practice location:
  • Phone: 336-768-6347
  • Fax: 336-760-9393
Mailing address:
  • Phone: 336-802-2400
  • Fax: 336-802-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0000-24749
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: