Individual
DR. FRANK JEFFERSON CRIDDLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13166
MS
207RI0200X
Infectious Disease Physician
13166
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07076260
—
MS
01
—
13166
MEDICAL LICENSE NUMBER
MS
01
—
P01212522
RAILROAD MEDICARE
MS
Enumeration date
07/19/2006
Last updated
11/12/2021
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