Provider Demographics
NPI:1851014963
Name:MCCRAY, LOVIA
Entity Type:Individual
Prefix:
First Name:LOVIA
Middle Name:
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LOVIA
Other - Middle Name:
Other - Last Name:MILLINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:VENIPUNCTUREWITHLOV
Mailing Address - Street 1:2270 WEATHERSTONE CIR SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-2075
Mailing Address - Country:US
Mailing Address - Phone:470-840-6447
Mailing Address - Fax:
Practice Address - Street 1:2775 CRUSE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7140
Practice Address - Country:US
Practice Address - Phone:470-840-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty