Individual
NORMAN G MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10274 LAKE ARBOR WAY, SUITE 202, MITCHELLVILLE, MD 20721
(301) 336-9065
(301) 336-6909
Mailing address
PO BOX 2060, BOWIE, MD 20718-2060
(301) 336-9065
(301) 336-6909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0035947
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066001900
—
MD
Enumeration date
11/21/2006
Last updated
09/18/2012
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