Individual
CRAIG JAMES MALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
652 N. CEDAR AVENUE, COOKEVILLE, TN 38501
(931) 520-0116
(931) 526-1865
Mailing address
127 N. OAK AVENUE, SUITE D, COOKEVILLE, TN 38501
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M.D.26814
TN
207Q00000X
Family Medicine Physician
MD026814
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509091
—
TN
05
—
3096235
—
TN
Enumeration date
08/19/2005
Last updated
12/15/2009
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