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Individual

ANDRAY MCWILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4060 PEACHTREE RD NE STE D145, ATLANTA, GA 30319-3020
(561) 449-3716
Mailing address
4060 PEACHTREE RD NE STE D145, ATLANTA, GA 30319-3020
(561) 449-3716

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
592389561
FL
172A00000X
Driver
Primary
592289560
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
592389569A
FL
Enumeration date
04/01/2014
Last updated
08/04/2014
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