LANCE MICKEL CRAIG

COLUMBUS, GA
NPI1194448225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  11167)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
LANCE MICKEL CRAIG
5450 WHITTLESEY BLVD
COLUMBUS, GA 31909-2139
Phone number: 762-524-7379
Mailing Address
LANCE MICKEL CRAIG
5450 WHITTLESEY BLVD
COLUMBUS, GA 31909-2139
Phone number: