Individual
MR. MATTHEW CRAIG AT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV
Contact information
Practice address
1215 LEE ST, BOX 800672, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2642
(434) 924-1139
Mailing address
1215 LEE ST, BOX 800672, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2642
(434) 924-1139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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