Individual
KEITH D CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042221
GA
207L00000X
Anesthesiology Physician
Primary
42221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000831322B
—
GA
05
—
000831322D
—
GA
01
—
050069222
RAILROAD MEDICARE
GA
Enumeration date
11/02/2005
Last updated
12/01/2022
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