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Contact Information

CRYSTAL S ROSE, PA-C
1901 S HAWTHORNE RD STE 220
WINSTON-SALEM, NC27103
 Phone: 336-718-6777
 Fax: 336-718-6773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRYSTAL S ROSE · (Female)

NPI Number 1215983044
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/25/2006
Last updated 07/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 103916
Hospital affiliation(s)
  • MEDICAL PARK HOSPITAL - (Acute Care)
    1950 S HAWTHORNE RD
    WINSTON-SALEM, NC 27103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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