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Individual

DR. THOMAS EDISON CRAIG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1542 TULANE AVE FL 3, NEW ORLEANS, LA 70112-2865
(504) 568-8655
Mailing address
4704 SOUTHSHORE DR, METAIRIE, LA 70002-1433
(404) 909-2167

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036096703
IL
207R00000X
Internal Medicine Physician
Primary
206945
LA
207R00000X
Internal Medicine Physician
30434
AL

Other

Enumeration date
10/26/2006
Last updated
03/12/2015
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