institution
William G. Craddock
Customized Equipment (DME) in Madison, Tennessee
NPI 1477660967

William G. Craddock is a Customized Equipment (DME) based in Madison, TN and is specialized in Customized Equipment. William G. Craddock practices in Madison, TN. The NPI Number for William G. Craddock is 1477660967 and holds a License No. 0000000650 (Tennessee).

The current practice location address for William G. Craddock is 104 Garner Ave, Madison, TN and can be reached out via phone at 615-612-0087 and via fax at 615-612-0587.

Location: 104 Garner Ave, Madison, TN, 37115-2830
institution
Provider Profile Details
NPI Number
1477660967
Provider Name
William G. Craddock
Credential
Provider Entity Type
Organization
Address
104 Garner Ave, Madison, TN, 37115-2830
Phone Number
615-612-0087
Fax Number
615-612-0587
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2179198 01 TN AETNA HMO
3035094 05 TN
9027403600 05 KY
1452195 05 TN
55770104 01 TN AETNA
7100005360 05 KY
3035094 01 TN BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
104 Garner Ave
City
State
Zip
37115-2830
Phone Number
615-612-0087
Fax Number
615-612-0587
person
Provider Business Mailing Address Details
Address
104 Garner Ave
City
State
Zip
37115-2830
Phone Number
615-612-0087
Fax Number
615-612-0587
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
0000000650 (Tennessee)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
0000000650 (Tennessee)
Definition
Definition to come...
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