Provider Demographics
NPI:1750593414
Name:CRAIG, ANTHONY SCOTT (PA-C)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SCOTT
Last Name:CRAIG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 TERRIER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23461-2298
Mailing Address - Country:US
Mailing Address - Phone:757-953-9893
Mailing Address - Fax:757-953-9852
Practice Address - Street 1:1885 TERRIER AVE STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23461-2298
Practice Address - Country:US
Practice Address - Phone:757-953-9893
Practice Address - Fax:757-953-5852
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003320363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant