Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 06539 | MS |
NPI | 1043204795 |
---|---|
Provider Name | Dr. Ira Lamar Couey |
First Address | Oxford, MS 38655-5200 |
Second Address | Oxford, MS 38655-5200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00115254 | (05) | MS |
AC5193242 | DEA (01) | MS |
B30450 | (02) | MS |