Provider Demographics
NPI:1699751925
Name:MCGANN, WILLIAM F JR (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:F
Last Name:MCGANN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:631 PROFESSIONAL DR
Mailing Address - Street 2:STE 350
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3367
Mailing Address - Country:US
Mailing Address - Phone:770-995-0630
Mailing Address - Fax:678-942-5984
Practice Address - Street 1:631 PROFESSIONAL DR
Practice Address - Street 2:STE 350
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3367
Practice Address - Country:US
Practice Address - Phone:770-995-0630
Practice Address - Fax:770-995-1555
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2014-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA31977207RC0200X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009006150Medicaid
GA00400111AMedicaid
AL009006150Medicaid
GA00400111AMedicaid