Individual
TIA MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5500 KNOLL NORTH DR STE 310, COLUMBIA, MD 21045-2363
(240) 747-7785
(833) 359-1348
Mailing address
1627 PARKRIDGE CIR APT 125, CROFTON, MD 21114-2808
(301) 512-6429
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R172203
MD
Other
Enumeration date
08/14/2014
Last updated
07/24/2023
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