Provider Demographics
NPI:1154540078
Name:MCGINTY, WILLIAM RAY JR
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RAY
Last Name:MCGINTY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:W.
Other - Middle Name:RAY
Other - Last Name:MCGINTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1060 GRESHAMS FT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-4888
Mailing Address - Country:US
Mailing Address - Phone:706-467-2527
Mailing Address - Fax:
Practice Address - Street 1:1060 GRESHAMS FT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-4888
Practice Address - Country:US
Practice Address - Phone:706-467-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009551261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care