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1265058994
MATTHEW CRADDOCK
AUGUSTA, GA
NPI
1265058994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: GA 12008)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
MATTHEW CRADDOCK MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 770-672-1671
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Mailing Address
MATTHEW CRADDOCK MD
35 WESTBROOK DR
NEWNAN, GA 30263-1099
Phone number: 678-378-8448
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