MEDICARE: MS. MARGARET LOUISE CRAIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	14697	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	183980	OTHER	NC	PROVIDER ID #
2	N/A	OTHER	NC	MHNET PROVIDER ID #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164473955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET LOUISE CRAIG MD

Provider Business Mailing Address
First Line	:	132 POPLAR GROVE CONNECTOR
Second Line	:	SUITE B
City	:	BOONE
State	:	NC
Zip	:	28607-5915
Country	:	US
Telephone Number	:	828-264-8759
Fax Number	:	828-262-5687

Provider Business Practice Location Address
First Line	:	895 STATE FARM RD
Second Line	:	SUITE 508
City	:	BOONE
State	:	NC
Zip	:	28607-4917
Country	:	US
Telephone Number	:	828-264-9007
Fax Number	:	828-262-5687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/09/2007

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