Privott, Willis Mccoy

Privott, Willis Mccoy is an sole proprietor health care provider with primary practice located at 1610 Opelika Rd , Phenix City AL 36867-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Privott, Willis Mccoy can be contacted via phone (334) 291-0221.

Contact Information

Primary practice address
1610 Opelika Rd Phenix City AL 36867-3634
Phone: (334) 291-0221
Fax: (334) 291-1939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038916 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00017192 Alabama

Profile Details

NPI number 1700867272
LBN Legal business name Privott, Willis Mccoy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Oct 3rd, 2012 - about 13 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 1700867272 NPPES
Georgia MEDICAID 000639416C
Georgia MEDICAID 009986080

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