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General NPI Number Information
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NPI Number | 1912989781
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Entity Type | Individual
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Provider Name | WILLIAM HENDERSON MCCRAY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 3825 MEDICAL PARK DR STE 100
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City | AUSTELL
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State | GA
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Zip | 30106-6831
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Country | US
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Telephone | 470-267-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 2841 DEBARR ROAD SUITE 50
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City | ANCHORAGE
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State | AK
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Zip | 99508-2932
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Country | US
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Telephone | 907-276-2811
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Fax | 907-276-2810
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4314
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 100754
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License Number State | GA
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