Provider Demographics
NPI:1174605091
Name:CRAFT, GEORGE FRANCIS II (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:FRANCIS
Last Name:CRAFT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2807
Mailing Address - Country:US
Mailing Address - Phone:540-773-8169
Mailing Address - Fax:540-773-8170
Practice Address - Street 1:1730 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2807
Practice Address - Country:US
Practice Address - Phone:540-773-8169
Practice Address - Fax:540-773-8170
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052081207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6201342Medicaid
VA453936OtherANTHEM BCBS
VA6201342Medicaid
VA6201342Medicaid
VA160001404Medicare ID - Type Unspecified