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General NPI Number Information
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NPI Number | 1992671242
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Entity Type | Organization
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Legal Business Name | CRAIG WELLNESS AND RECOVERY
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2205 RIVERSTONE BLVD STE 205
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City | CANTON
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State | GA
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Zip | 30114-5250
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Country | US
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Telephone | 770-720-5011
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Fax | 770-345-1088
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Provider Business Mailing Address
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Address Line | 2205 RIVERSTONE BLVD STE 205
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City | CANTON
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State | GA
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Zip | 30114-5250
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Country | US
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Telephone | 770-720-5011
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Fax | 770-345-1088
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Authorized Official
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Title or Position | OWNER / CMO
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Name | DR. JAMES C CRAIG
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Credential | MD
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Telephone | 770-720-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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