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Individual

MR. RAYMOND CAMPBELL MCKOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3824 S HIGHWAY 27, LA FAYETTE, GA 30728-3967
(706) 639-9055
(706) 639-9057
Mailing address
4300 N POINT PKWY STE 300, ALPHARETTA, GA 30022-4102
(770) 442-1911
(770) 442-0306

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044536
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
044532
GA
207R00000X
Internal Medicine Physician
044532
GA
207R00000X
Internal Medicine Physician
Primary
44536
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
044532
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
044532
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000757754L
GA
01
P00344049
RR MEDICARE
GA
01
P00417342
RR MEDICARE
GA
Enumeration date
07/31/2006
Last updated
03/04/2026
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