Mckoy, Raymond Campbell
Mckoy, Raymond Campbell is an individual health care provider with primary practice located at 310 W 10Th St Ne , Rome GA 30165-2639. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mckoy, Raymond Campbell can be contacted via phone (706) 802-8400.Contact Information
Primary practice address
310 W 10Th St Ne
Rome GA 30165-2639
Phone: (706) 802-8400
Fax: (706) 622-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 044532 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 044532 | Georgia |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 044532 | Georgia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 044532 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 044536 | Georgia |
Profile Details
| NPI number | 1295741460 |
|---|---|
| LBN Legal business name | Mckoy, Raymond Campbell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295741460 | NPPES |
| Georgia | MEDICAID | 000757754L | |
| Georgia | Other | P00417342 | |
| Georgia | Other | P00344049 |
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