LARRY W CRADDOCK M.D. - NPI 1356344394 - Obstetrics & Gynecology in Matthews, NC

Q: What is Larry Craddock's NPI number?

The NPI number for Larry Craddock is 1356344394. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Larry Craddock's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Craddock was last updated on March 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Larry W Craddock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY W CRADDOCK M.D. (NPI 1356344394) is an individual obstetrics & gynecology provider in Matthews, North Carolina, licensed in North Carolina (18860) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1356344394

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameLARRY W CRADDOCKCredential: M.D.

Location Address1450 MATTHEWS TOWNSHIP PKWY, SUITE 300Matthews, NC 28105-2387

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 321-1077 · Fax (704) 321-1086

Phone(704) 321-1077

Fax(704) 321-1086

Sole ProprietorNo

Enumeration DateMay 23, 2005

Last NPPES UpdateMarch 11, 2015

✔ NPI 1356344394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 18860

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1450 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105

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