Provider Demographics
NPI:1982813523
Name:CRITES, SAVANNAH NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:NOEL
Last Name:CRITES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559-0000
Mailing Address - Country:US
Mailing Address - Phone:919-542-4991
Mailing Address - Fax:919-542-3726
Practice Address - Street 1:7228 PITTSBORO-MONCURE RD
Practice Address - Street 2:
Practice Address - City:MONCURE
Practice Address - State:NC
Practice Address - Zip Code:27559-0000
Practice Address - Country:US
Practice Address - Phone:919-542-4991
Practice Address - Fax:919-542-3736
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00626207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine