Individual provider · Type 1 NPI

Codi Craig, PAC

Surgical Physician Assistant · Knoxville, TN

NPI number 1396289005 Active

Practice location

1926 Alcoa Hwy Ste F210
Knoxville, TN 37920-1545

Call (865) 305-2495 Map

Fax (865) 305-2496

Mailing address

1713 US Highway 441 N, Suite H
Okeechobee, FL 34972-1900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA0000003122 (TN)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1396289005

Codi Craig, PAC's National Provider Identifier is 1396289005, issued on Dec 14, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Knoxville, TN. The record was last updated on Sep 2, 2025.