Individual
CRAIG CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1648
(478) 994-1010
(478) 994-1080
Mailing address
97 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1648
(478) 994-1010
(478) 994-1080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021658
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00207501B
—
GA
01
—
012230
BLUE CROSS/BLUE SHIELD
GA
01
—
303536
WELLCARE OF GA
GA
01
—
410113063
RAILROAD MEDICARE
GA
Enumeration date
10/04/2006
Last updated
12/14/2010
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