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Coy W. Gammage JR., MD
Specialist in Monroe, Louisiana
NPI 1871590711

Coy W. Gammage JR. is a Specialist based in Baton Rouge, LA. Coy W. Gammage JR. practices in Monroe, LA and has the professional credentials of MD. The NPI Number for Coy W. Gammage JR. is 1871590711 and holds a License No. 021331 (Louisiana).

The current practice location address for Coy W. Gammage JR. is 411 Calypso St Ste 200A, Monroe, LA and can be reached out via phone at 318-966-1970 and via fax at 318-966-1971.

Location: 411 Calypso St Ste 200A, Monroe, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871590711
Provider Name
Coy W. Gammage JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
411 Calypso St Ste 200A, Monroe, LA, 70816-6038
Phone Number
318-966-1970
Fax Number
318-966-1971
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1976652 05 LA
830005032 01 LA RRMC
institution
Provider Business Practice Location Address Details
Address
411 Calypso St Ste 200A
City
Monroe
State
Louisiana
Zip
71201-7551
Phone Number
318-966-1970
Fax Number
318-966-1971
person
Provider Business Mailing Address Details
Address
411 Calypso St Ste 200A
City
Monroe
State
Louisiana
Zip
71201-7551
Phone Number
318-966-1970
Fax Number
318-966-1971
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
021331 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
021331 (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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