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General NPI Number Information
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NPI Number | 1760574875
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Entity Type | Individual
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Provider Name | SEAN GRAY MCWILLIAMS D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 11800 NORTHFALL LN STE 1401
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City | ALPHARETTA
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State | GA
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Zip | 30009-7976
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Country | US
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Telephone | 770-998-1414
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Fax | 770-998-1470
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Provider Business Mailing Address
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Address Line | 11800 NORTHFALL LN STE 1401
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City | ALPHARETTA
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State | GA
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Zip | 30009-7976
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Country | US
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Telephone | 770-998-1414
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Fax | 770-998-1470
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 005642
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License Number State | GA
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