Provider Demographics
NPI:1871153403
Name:MCGRORY, SALLYE ANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:SALLYE
Middle Name:ANNE
Last Name:MCGRORY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SALLYE
Other - Middle Name:ANNE
Other - Last Name:PYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6262 VETERANS PKWY UNIT B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-3540
Practice Address - Country:US
Practice Address - Phone:706-494-3434
Practice Address - Fax:706-494-3490
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA150032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner