Provider Demographics
NPI:1033697255
Name:MCGEOY, JOSEPH (SOIDC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:MCGEOY
Suffix:
Gender:M
Credentials:SOIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120A JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445-7037
Mailing Address - Country:US
Mailing Address - Phone:267-640-2528
Mailing Address - Fax:
Practice Address - Street 1:120A JAMES AVE
Practice Address - Street 2:
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445-2844
Practice Address - Country:US
Practice Address - Phone:267-640-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman