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NPI Code Detail

MEDICARE: BEVERLY JOYCE MCCRAY NP

MEDICARE: BEVERLY JOYCE MCCRAY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN082432GA

General Provider Information

NPI Number : 1215012695
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY JOYCE MCCRAY NP
Provider Business Mailing Address
First Line : 5656 SPRING MILL CIR
Second Line :
City : LITHONIA
State : GA
Zip : 30038-4058
Country : US
Telephone Number : 770-808-6153
Fax Number : 404-370-7378
Provider Business Practice Location Address
First Line : 30 WARREN ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30317-2267
Country : US
Telephone Number : 404-370-7360
Fax Number : 404-370-7379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ BEVERLY JOYCE MCCRAY NP” Practice Location

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