Provider Demographics
NPI:1417997339
Name:MCCAFFERTY, FRANCIS L JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:L
Last Name:MCCAFFERTY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:LAWRENCE
Other - Last Name:MCCAFFERTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8200 ROBERTS DR STE 450
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4115
Mailing Address - Country:US
Mailing Address - Phone:770-952-8612
Mailing Address - Fax:770-850-0372
Practice Address - Street 1:830 EAGLES LANDING PKWY STE 203
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7366
Practice Address - Country:US
Practice Address - Phone:770-953-3331
Practice Address - Fax:770-506-4664
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA38862207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00615711CMedicaid
GA03BDBQDMedicare ID - Type Unspecified
GA00615711CMedicaid