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Physician Compare National (NPI:1871657569)

HEALTHCARE PROVIDER: HENRY LEE MCKAY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1871657569
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5294711651
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160816001960
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCKAY
Individual professional last name
Provider First Name HENRY
Individual professional first name
Provider Middle Name LEE
Individual professional middle name
Provider Name Suffix Text II
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 175 COUNTRY CLUB DR
Group Practice or individual's line 1 address
Line 2 Street Address BLDG 100D
Group Practice or individual's line 2 address
City STOCKBRIDGE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 302817380
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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