ASHLEY M CRADDOCK

SOUTHEAST UROLOGY NETWORK PC

Dr ASHLEY M CRADDOCK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

SOUTHEAST UROLOGY NETWORK PC

7420 GUTHRIE DR N
SUITE 111
SOUTHAVEN
MS
386715877

Tel: 6623492220

ASHLEY M CRADDOCK Information

Npi 1851780597
Pac Id 9830417385
Professional Enrollment Id I20150413000982
Last Name CRADDOCK
First Name ASHLEY
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHEAST UROLOGY NETWORK PC
Group Practice Pac Id 3779501390
Number Of Group Practice Members 5
Line 1 Street Address 7420 GUTHRIE DR N
Line 2 Street Address SUITE 111
Marker Of Address Line 2 Suppression
City SOUTHAVEN
State MS
Zip Code 386715877
Phone Number 6623492220
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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