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NPI Code Detail

MEDICARE: MICHAEL SCOTT CRAIG MD

MEDICARE:   MICHAEL SCOTT 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
1207Q00000XFamily Medicine PhysicianMD29805TN

General Provider Information

NPI Number : 1518951664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SCOTT CRAIG MD
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line : DEPT 978
City : MEMPHIS
State : TN
Zip : 38148-0001
Country : US
Telephone Number : 901-837-7979
Fax Number : 901-837-7999
Provider Business Practice Location Address
First Line : 1880 OLD HWY 51
Second Line : SUITE C
City : BRIGHTON
State : TN
Zip : 38011-7043
Country : US
Telephone Number : 901-837-7979
Fax Number : 901-837-7999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 12/01/2016

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Directions to “ MICHAEL SCOTT CRAIG MD” Practice Location

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