IndividualActive
Jay Craddock, MD
NPI 1477865723 · Glaucoma Specialist (Ophthalmology) Physician · Jackson, MS
Provider details
- NPI number
- 1477865723
- Entity type
- Individual
- Primary specialty
- Glaucoma Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22524 (MS)
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5017
Fax: (601) 984-5042
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2018-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.