Individual
ANGIE CRADDIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 MILITARY RD STE 3, COLUMBUS, MS 39705-2456
(662) 364-1058
Mailing address
2240 MILITARY RD STE 3, COLUMBUS, MS 39705-2456
(662) 798-0757
(662) 570-1450
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
MS
Other
Enumeration date
10/12/2022
Last updated
11/13/2024
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