Provider Demographics
NPI:1013307198
Name:ADVOCACY HEALTHCARE ADULT MEDICINE
Entity Type:Organization
Organization Name:ADVOCACY HEALTHCARE ADULT MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:615-430-7877
Mailing Address - Street 1:180 EAGLE WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6410
Mailing Address - Country:US
Mailing Address - Phone:615-430-7877
Mailing Address - Fax:
Practice Address - Street 1:175 COUNTRY CLUB DR
Practice Address - Street 2:SUITE 100 D
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9054
Practice Address - Country:US
Practice Address - Phone:615-430-7877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA54300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty