Healthcare Provider Details

I. General information

NPI: 1467597427
Provider Name (Legal Business Name): WILLIAM JOEL MCAFEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W 3RD AVE STE 50
ALBANY GA
31701-1955
US

IV. Provider business mailing address

425 W 3RD AVE STE 50
ALBANY GA
31701-1955
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-0717
  • Fax:
Mailing address:
  • Phone: 229-883-0717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number19205
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number64150
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: