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Individual

DR. PAUL WILSON CRAIG II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., CIME, AAMRO

Contact information

Practice address
6500 HIGHWAY 645, SUITE 110, INEZ, KY 41224
(606) 298-3412
(606) 298-3416
Mailing address
1709 KY ROUTE 321 STE 3, PRESTONSBURG, KY 41653-9097
(606) 886-8546
(606) 886-8548

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29912
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
18116
WV
207QA0505X
Adult Medicine Physician
18116
WV
2083A0100X
Aerospace Medicine Physician
18116
WV
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
18116
WV
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
29912
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100304610
KY
Enumeration date
04/27/2006
Last updated
06/03/2025
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