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Angie Craddieth

NPI 1063138931 · on the registry since 2022 · sole proprietor

Practice

Address
2240 Military Rd Ste 3
Columbus, MS 39705
Phone
(662) 364-1058

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
253Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi