Individual
ALICIA M CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1274
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1274
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000154198
TN
163W00000X
Registered Nurse
RN168147
GA
367500000X
Certified Registered Nurse Anesthetist
APN0000013603
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168147
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108083
—
AL
05
—
1510651
—
TN
01
—
4157214
BLUE CROSS BLUE SHIELD TN
TN
05
—
662969153A
—
GA
05
—
8053486
—
NC
01
—
N480408
WELLCARE (GA MEDICAID)
GA
01
—
P00770314
RAILROAD MEDICARE
TN
Enumeration date
07/22/2008
Last updated
05/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us