Provider Demographics
NPI:1427010834
Name:MCGRATH, JAMES STUART (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STUART
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-0189
Mailing Address - Country:US
Mailing Address - Phone:336-677-1100
Mailing Address - Fax:336-677-1152
Practice Address - Street 1:624 W MAIN ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-7804
Practice Address - Country:US
Practice Address - Phone:336-679-6758
Practice Address - Fax:336-679-6744
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC25818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901195NMedicaid
NC2156239DMedicare ID - Type Unspecified