Individual
MR. CRAIG ANTHONY HALTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.H.I.S.
Contact information
Practice address
2725 W STATE ST, BRISTOL, TN 37620-1828
(423) 764-5411
(423) 764-0151
Mailing address
2725 W STATE ST, BRISTOL, TN 37620-1828
(423) 764-5411
(423) 764-0151
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
457
TN
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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