Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 020937 | GA |
N | 208D00000X | General Practice Physician | 020937 | GA |
NPI | 1578779054 |
---|---|
Provider Name | Dr. Myra Mccoy Pope |
First Address | Savannah, GA 31406-4124 |
Second Address | Savannah, GA 31406-4124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00287504B | (05) | GA |
E00858 | (02) | GA |