Provider Demographics
NPI:1679661649
Name:MCCRANEY, WARD THOMAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:THOMAS
Last Name:MCCRANEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WARD
Other - Middle Name:T
Other - Last Name:MCCRANEY
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:290 E LAYFAIR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9526
Mailing Address - Country:US
Mailing Address - Phone:601-987-8200
Mailing Address - Fax:601-987-8211
Practice Address - Street 1:290 E LAYFAIR DR
Practice Address - Street 2:SUITE A
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9526
Practice Address - Country:US
Practice Address - Phone:601-987-8200
Practice Address - Fax:601-987-8211
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS05292207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00111822Medicaid
MS5976860001Medicare NSC
MS200000497Medicare PIN
MSB31098Medicare UPIN