Provider Demographics
NPI:1336125129
Name:MCCORMES, ROY JR
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:MCCORMES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 DOUGLAS A MUNRO RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4303
Mailing Address - Country:US
Mailing Address - Phone:757-421-6430
Mailing Address - Fax:757-421-8288
Practice Address - Street 1:4720 DOUGLAS A MUNRO RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4303
Practice Address - Country:US
Practice Address - Phone:757-421-6430
Practice Address - Fax:757-421-8288
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other