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Dr. Thomas Edison Craig Jr., M.D.

Internal Medicine in New Orleans, LA. Individual provider (NPI-1).

NPI number1720163066
StatusActive
Last updated in NPPESMar 12, 2015

Details

NPI
1720163066
Entity type
Individual (NPI-1)
Name
Dr. Thomas Edison Craig Jr.
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 26, 2006
Last updated
Mar 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine206945LAYes
207R00000X Internal Medicine036096703IL
207R00000X Internal Medicine30434AL

Practice location

1542 Tulane Ave Fl 3
New Orleans, LA 70112-2865

Phone 504-568-8655

Mailing address

4704 Southshore Dr
Metairie, LA 70002-1433

Phone 404-909-2167

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