| Raymond C Mckoy, Do, Pc | |
|
310 W 10th St Ne Rome GA 30165-2639 | |
| (512) 434-9064 | |
| Not Available |
| Full Name | Raymond C Mckoy, Do, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 310 W 10th St Ne, Rome, Georgia |
| Authorized Official Name and Position | Raymond Clayton Mckoy (PHYSICIAN) |
| Authorized Official Contact | 7063462130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond C Mckoy, Do, Pc 310 W 10th St Ne Rome GA 30165-2639 Ph: (706) 346-2130 | Raymond C Mckoy, Do, Pc 310 W 10th St Ne Rome GA 30165-2639 Ph: (512) 434-9064 |
| NPI Number | 1326336736 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 8729256482 |
|---|---|
| Medicare Enrollment ID | O20110722000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326336736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044536 (Georgia) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Shannon A Doyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295770220 PECOS PAC ID: 6608853908 Enrollment ID: I20040706000312 |
| Provider Name | Raymond Campbell Mckoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295741460 PECOS PAC ID: 7214949197 Enrollment ID: I20060614000022 |
| Provider Name | Linda J Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124268784 PECOS PAC ID: 5496937252 Enrollment ID: I20110315000849 |
| Provider Name | Jesse R Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730485194 PECOS PAC ID: 2668631656 Enrollment ID: I20120312000119 |
| Provider Name | Amarabalan Rajendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962843680 PECOS PAC ID: 8224323134 Enrollment ID: I20160817000063 |
| Provider Name | Karen Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891292249 PECOS PAC ID: 7517291776 Enrollment ID: I20190624000060 |
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