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NPI Code Detail

MEDICARE: JOSEPH P MCEVOY MD

MEDICARE:   JOSEPH P MCEVOY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician33548NC
22084P0800XPsychiatry Physician69837GA

General Provider Information

NPI Number : 1962586859
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH P MCEVOY MD
Provider Business Mailing Address
First Line : 997 SAINT SEBASTIAN WAY
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-2613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 997 SAINT SEBASTIAN WAY
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-2613
Country : US
Telephone Number : 919-819-9295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/05/2013

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Directions to “ JOSEPH P MCEVOY MD” Practice Location

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