Provider Demographics
NPI:1972972909
Name:MCCRARY, BRANDY MORRIS (NP)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:MORRIS
Last Name:MCCRARY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:203 WOODROW WILSON DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2538
Mailing Address - Country:US
Mailing Address - Phone:229-245-0020
Mailing Address - Fax:229-245-9855
Practice Address - Street 1:203 WOODROW WILSON DR
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2538
Practice Address - Country:US
Practice Address - Phone:229-245-0020
Practice Address - Fax:229-245-9855
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN170325363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health