Lance Mickel Craig
Lance Mickel Craig is a Physician Assistant in Columbus, Georgia. Qualified in 2022, 4 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
5450 Whittlesey BlvdColumbus, GA 31909-2139
Phone: (762) 524-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 11167 (GA) |
|---|
Record details
| NPI number | 1194448225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2022 |
| Last updated in NPPES | September 23, 2022 |
| Certification date | September 22, 2022 |
| Mailing address | 5450 Whittlesey Blvd, Columbus, GA 31909-2139 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Wellstreet Of Georgia Pc — 431 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
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