Gregory James Craddock in Alexandria - Neuromusculoskeletal Medicine & Omm
Gregory James Craddock - NPI 1912004862
Gregory James Craddock is a Neuromusculoskeletal Medicine & Omm in Alexandria, Virginia. Gregory James Craddock practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Gregory James Craddock is 1912004862. The last update date is 2007-07-08.
Gregory James Craddock's current location address is 1225 Martha Custis Dr, Alexandria, Virginia. You can contact this provider via phone number 7039986760. The mailing address for Gregory James Craddock is 1225 Martha Custis Dr, Alexandria, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory James Craddock |
|---|---|
| Address | 1225 Martha Custis Dr, Alexandria, Virginia |
| Phone Number | 7039986760 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1912004862 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1225 Martha Custis Dr |
|---|---|
| City | Alexandria |
| State | Virginia (VA) |
| Post Code | 223022000 |
| Phone Number | 7039986760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | 102201175 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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What is the Gregory James Craddock's unique identification number?
The Gregory James Craddock has been assigned the NPI (National Provider Identifier) Number 1912004862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Gregory James Craddock is physically located?
The Gregory James Craddock is situated at the following address: 1225 Martha Custis Dr, Alexandria, VA 223022000.
What is Gregory James Craddock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregory James Craddock is Neuromusculoskeletal Medicine & Omm, and the taxonomy code that classifies this field of practice is 204D00000X.
When was the Gregory James Craddock's 1912004862 issued?
The Gregory James Craddock's 1912004862 was issued on 2006-09-20.
When was the information regarding Gregory James Craddock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory James Craddock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.