Craddock, Jeffrey Alan

Craddock, Jeffrey Alan is an individual health care provider with primary practice located at 901 Bell St , Conway SC 29526-4113. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Craddock, Jeffrey Alan can be contacted via phone (843) 488-1300.

Contact Information

Primary practice address
901 Bell St Conway SC 29526-4113
Phone: (843) 488-1300
Fax: (843) 488-1330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1184061525
LBN Legal business name Craddock, Jeffrey Alan
Credentials MA, CACP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2013
Last updated May 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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