| Doctor Name: | CAROL B CRAIG |
| NPI Number: | 1023032810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN046542/AP03176 |
| Business Practice Address: | 1104 W Highway 30 Gonzales, LA - 707375003 |
| Business Phone Number: | 2256442100 |
| Business Fax Number: | 2256445213 |
| Mailing Address: | 1104 W Highway 30, GONZALES |
| State: | LA |
| Postal Code: | 707375003 |
| Phone Number: | 2256442100 |
| Fax Number: | 2256445213 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN046542/AP03176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |