Provider Demographics
NPI:1578594347
Name:MCCURDY, LACY F (MD)
Entity Type:Individual
Prefix:DR
First Name:LACY
Middle Name:F
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LACY
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1500 OGLETHORPE AVE
Mailing Address - Street 2:STE 600 B
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2179
Mailing Address - Country:US
Mailing Address - Phone:706-549-3426
Mailing Address - Fax:706-549-3432
Practice Address - Street 1:1500 OGLETHORPE AVE
Practice Address - Street 2:STE 600 B
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2179
Practice Address - Country:US
Practice Address - Phone:706-549-3426
Practice Address - Fax:706-549-3432
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058086208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics