Dr Jeffrey C Craddock, MD | |
701 Grove Rd, Greenville, SC 29605-5611 | |
(864) 455-8431 | |
Not Available |
Full Name | Dr Jeffrey C Craddock |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 701 Grove Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174578538 | NPI | - | NPPES |
189361 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 18936 (South Carolina) | Primary |
Entity Name | Chestnut Hill Mental Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386603793 PECOS PAC ID: 0648259887 Enrollment ID: O20040720000395 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey C Craddock, MD 255 Enterprise Blvd, Suite 102, Greenville, SC 29615-6300 Ph: (864) 454-1142 | Dr Jeffrey C Craddock, MD 701 Grove Rd, Greenville, SC 29605-5611 Ph: (864) 455-8431 |
Kathleen Valeska Woschkolup, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Roper Creek Dr, Greenville, SC 29615 Phone: 864-516-1170 Fax: 877-249-9483 | |
Benjamin Todd Griffeth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Ste 200, Greenville, SC 29605 Phone: 864-455-8431 | |
Meng Zhou-wang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr, Suite B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 | |
Dr. Marc Taro Ishizuka, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, SC 29605 Phone: 864-299-1600 | |
Karen Sue Stacher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard Street, Greenville, SC 29601 Phone: 864-241-1040 Fax: 864-241-1049 | |
Dr. Ambreen A Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Medical Dr, Greenville, SC 29605 Phone: 864-295-2221 Fax: 864-220-6109 | |
Mr. Thomas C Perry Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505 |