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General NPI Number Information
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NPI Number | 1790723096
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Entity Type | Individual
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Provider Name | JOSEPH W MCCORD JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4167 HOSPITAL DR NE GEORGIA OPHTHALMOLOGISTS, LLC
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City | COVINGTON
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State | GA
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Zip | 30014-2565
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Country | US
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Telephone | 770-786-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 4167 HOSPITAL DR NE GEORGIA OPHTHALMOLOGISTS, LLC
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City | COVINGTON
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State | GA
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Zip | 30014-2565
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Country | US
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Telephone | 770-786-1234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101007924
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 02739
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO-87
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 14170
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D.O.-632
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E0202
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License Number State | AR
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 039174
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License Number State | GA
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