Provider Demographics
NPI:1508035734
Name:CROWLEY, MCKAY B (MD)
Entity type:Individual
Prefix:
First Name:MCKAY
Middle Name:B
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 RESEARCH DR STE A
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-2745
Mailing Address - Country:US
Mailing Address - Phone:336-775-7940
Mailing Address - Fax:
Practice Address - Street 1:545 RESEARCH DR STE A
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-2745
Practice Address - Country:US
Practice Address - Phone:336-775-7940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70615207R00000X
NC141786208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA70615OtherGEORGIA COMPOSITE MEDICAL BOARD
NC5914627Medicaid