Individual
ANDREW CRAIG MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 STARLING ST STE 602, BRUNSWICK, GA 31520-4271
(912) 265-1300
(912) 265-3580
Mailing address
2500 STARLING ST STE 602, BRUNSWICK, GA 31520-4271
(912) 265-1300
(912) 265-3580
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64102197
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
—
01
—
P00241289
RR MEDICARE PIN
—
Enumeration date
07/10/2006
Last updated
11/18/2021
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