Individual
CRAIG UNDERSET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
562 CONCORD RD SE, SMYRNA, GA 30082-2608
(770) 384-9900
Mailing address
562 CONCORD RD SE, SMYRNA, GA 30082-2608
(770) 384-9900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029961
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160905879B
—
GA
Enumeration date
04/24/2006
Last updated
01/23/2020
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