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Individual

ASHLEY P CRADDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-1018
(434) 924-9492
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
0101277125
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101277125
VA

Other

Enumeration date
03/26/2019
Last updated
11/25/2024
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