Mccoy, Gabriel David
Mccoy, Gabriel David is an individual health care provider with primary practice located at 1401 Johnston Willis Dr Ste 100 , North Chesterfield VA 23235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mccoy, Gabriel David can be contacted via phone (804) 330-7990.Contact Information
Primary practice address
1401 Johnston Willis Dr Ste 100
North Chesterfield VA 23235
Phone: (804) 330-7990
Fax: (804) 330-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1574 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0102205542 | Virginia |
Profile Details
| NPI number | 1114289519 |
|---|---|
| LBN Legal business name | Mccoy, Gabriel David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | May 21st, 2021 - about 3 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 | 1114289519 | NPPES |
| South Carolina | MEDICAID | 015744 | |
| South Carolina | MEDICAID | 1114289519 | |
| South Carolina | Other | VVV188A |
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