Healthcare Provider Details

I. General information

NPI: 1083822860
Provider Name (Legal Business Name): JOY L MCCAFFREY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW SUITE 475
ATLANTA GA
30309-1605
US

IV. Provider business mailing address

35 COLLIER RD NW SUITE 475
ATLANTA GA
30309-1605
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-7900
  • Fax: 404-351-7901
Mailing address:
  • Phone: 404-351-7900
  • Fax: 404-351-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301087803
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: