Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101052081 | VA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101052081 | VA |
NPI | 1174605091 |
---|---|
Provider Name | George Francis Craft II |
First Address | Winchester, VA 22601-2807 |
Second Address | Winchester, VA 22601-2807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 21/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6201342 | (05) | VA |
G03029 | (02) |