Doctor Name: | LAURA L CRAIG |
NPI Number: | 1538155726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN 974 |
Business Practice Address: | 608 E Columbia Ave Batesburg-leesville, SC - 290707318 |
Business Phone Number: | 8035328155 |
Business Fax Number: | 8035329685 |
Mailing Address: | 608 E Columbia Ave, BATESBURG-LEESVILLE |
State: | SC |
Postal Code: | 290707318 |
Phone Number: | 8035328155 |
Fax Number: | 8035329685 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN 974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |