Provider Demographics
NPI:1487609319
Name:MCGRATH, JAMES G (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
Last Name:MCGRATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:2711 X RAY DR STE 3701
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054
Practice Address - Country:US
Practice Address - Phone:980-834-9600
Practice Address - Fax:980-834-9605
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2019-11-06
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Provider Licenses
StateLicense IDTaxonomies
NC2005-00323207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1391WOtherBCBS
NC1487609319Medicaid
G71152Medicare UPIN