Organization · Type 2 NPI
William G. Craddock
Customized Equipment (DME) · Madison, TN
NPI number
1477660967
Active
Practice location
104 Garner Ave
Madison, TN 37115-2830
Fax (615) 612-0587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000650 (TN) |
| Customized Equipment (DME) Primary | 332BC3200X | 0000000650 (TN) |
Customized Equipment (DME): Definition to come...
About NPI 1477660967
William G. Craddock's National Provider Identifier is 1477660967, issued on Aug 23, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Madison, TN. The record was last updated on Jan 24, 2012.