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Craig Clayton Cartia

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NPI Number Detailed Information

Provider Information:

Name: Craig Clayton Cartia
Gender: M
Provider License Number If Given: 32838

NPI Information:

NPI: 1578566766
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/8/2019

Provider Business Mailing Address:

Address: PO BOX 73652
Cleveland, OH 44193
Phone Number: 8593132758
Fax Number:

Provider Business Practice Location Address:

Address: 106 BELINDA BLVD
Danville, KY 40422
Phone Number: 8594390340
Fax Number: 8592094278

Provider Taxonomy:

Primary: 207LA0401X
Secondary (if any):
State: KY

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