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Individual

JAMES MELVIN MCCREADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 747-7900
Mailing address
PO BOX 11317, DAYTONA BEACH, FL 32120-1317
(386) 274-7800
(386) 274-7801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME61602
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14906
BLUE CROSS OF FLORIDA
FL
05
370518800
FL
05
989887866A
GA
Enumeration date
06/12/2006
Last updated
08/03/2009
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