Individual
HENRY LEE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 COUNTRY CLUB DR, BLDG 100D, STOCKBRIDGE, GA 30281-7380
(678) 271-2833
(678) 271-2834
Mailing address
175 COUNTRY CLUB DR, BLDG 100D, STOCKBRIDGE, GA 30281-7380
(678) 271-2833
(678) 271-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054300
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52704229001
BCBS - GA
GA
05
—
645081720A
—
GA
Enumeration date
12/20/2006
Last updated
11/01/2016
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