Healthcare Provider Details

I. General information

NPI: 1316407224
Provider Name (Legal Business Name): ELIZABETH ANN SETON CRAIG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWNE CENTER BLVD STE 701
POOLER GA
31322-4063
US

IV. Provider business mailing address

1000 TOWNE CENTER BLVD STE 701
POOLER GA
31322-4063
US

V. Phone/Fax

Practice location:
  • Phone: 912-303-4200
  • Fax: 912-790-2701
Mailing address:
  • Phone: 912-303-4200
  • Fax: 912-790-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number104418
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: