Individual
ROBERT D MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 KINGSBOROUGH SQ, SUITE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9374
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247264
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101247264
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477653236
—
VA
01
—
410299
ANTHEM
VA
01
—
PAR
OPTIMA
VA
Enumeration date
09/22/2006
Last updated
07/21/2022
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