Irvin, Elvin Coy
Irvin, Elvin Coy is an sole proprietor health care provider with primary practice located at 915 Gordon Ave , Thomasville GA 31792-6614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Irvin, Elvin Coy can be contacted via phone (229) 228-2000.Contact Information
Primary practice address
915 Gordon Ave
Thomasville GA 31792-6614
Phone: (229) 228-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME42445 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33164 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 78392 | Georgia |
Profile Details
| NPI number | 1902888357 |
|---|---|
| LBN Legal business name | Irvin, Elvin Coy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 10th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902888357 | NPPES |
| Florida | MEDICAID | 041748300 | |
| Florida | Other | 17583 | |
| Florida | Other | 592-05580 | |
| Florida | Other | P00686500 |
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