Craig, Michael Dewayne

Craig, Michael Dewayne is an sole proprietor health care provider with primary practice located at 3063 Battlefield Pkwy, , Fort Oglethorpe GA 30742. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Craig, Michael Dewayne can be contacted via phone (423) 667-2883.

Contact Information

Primary practice address
3063 Battlefield Pkwy, Fort Oglethorpe GA 30742
Phone: (423) 667-2883
Fax: (706) 861-1907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1538559240
LBN Legal business name Craig, Michael Dewayne
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2015
Last updated Nov 13th, 2015 - about 9 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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