Individual
DR. BRYAN F MCCRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 731-1470
(601) 731-1474
Mailing address
914 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 731-1470
(601) 731-1474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09154
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013369
—
MS
Enumeration date
07/26/2006
Last updated
07/08/2007
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