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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1114289519 NPPES
South Carolina MEDICAID 015744
South Carolina MEDICAID 1114289519
South Carolina Other VVV188A

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