Individual
DR. JEREMY SEAN MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
516 RIDLEY AVE, LAGRANGE, GA 30240-2234
(706) 845-1601
(706) 845-8510
Mailing address
516 RIDLEY AVE, LAGRANGE, GA 30240-2234
(706) 845-1601
(706) 845-8510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002848
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103463
CENPATICO BEHAVIORAL HEAL
GA
01
—
52048822
BCBS OF GA
GA
Enumeration date
11/01/2006
Last updated
07/08/2007
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