Individual
CODI CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1926 ALCOA HWY STE F210, KNOXVILLE, TN 37920-1545
(865) 305-2495
(865) 305-2496
Mailing address
1713 US HIGHWAY 441 N, SUITE H, OKEECHOBEE, FL 34972-1900
(863) 357-1510
(863) 357-1518
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA0000003122
TN
Other
Enumeration date
12/14/2016
Last updated
09/02/2025
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