Individual
CULVER CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7612 THORN TREE LN, CORDOVA, TN 38016-8776
(901) 754-2461
Mailing address
7612 THORN TREE LN, CORDOVA, TN 38016-8776
(901) 754-2461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M.D.3509
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085R0202X
RADIOLOGY
TN
Enumeration date
04/24/2013
Last updated
04/24/2013
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