Individual
DR. MATTHEW RYAN CRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1805 W STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8801
(423) 929-1409
Mailing address
902 ASHLEY RD, BLDG 8 APT 50, JOHNSON CITY, TN 37604-6481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036059
TN
183500000X
Pharmacist
RP0007757
WV
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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