Gammage, Coy W.

Gammage, Coy W. is an individual health care provider with primary practice located at 411 Calypso St Ste 200A , Monroe LA 71201-7551. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Gammage, Coy W. can be contacted via phone (318) 966-1970.

Contact Information

Primary practice address
411 Calypso St Ste 200A Monroe LA 71201-7551
Phone: (318) 966-1970
Fax: (318) 966-1971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 021331 Louisiana
Other Service Providers / Specialist 174400000X 021331 Louisiana

Profile Details

NPI number 1871590711
LBN Legal business name Gammage, Coy W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871590711 NPPES
Louisiana MEDICAID 1976652
Louisiana Other 830005032

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