Individual
MARKUS DICK CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 425-7550
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP08073
LA
363LA2100X
Acute Care Nurse Practitioner
889586
MS
363LA2100X
Acute Care Nurse Practitioner
AP08073
LA
363LA2100X
Acute Care Nurse Practitioner
R889586
MS
363LF0000X
Family Nurse Practitioner
Primary
889586
MS
363LF0000X
Family Nurse Practitioner
AP08073
LA
363LF0000X
Family Nurse Practitioner
R889586
MS
Other
Enumeration date
12/16/2014
Last updated
09/27/2022
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