Provider Demographics
NPI:1881794048
Name:MCCARTHY, RAYMOND A (DO)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:A
Last Name:MCCARTHY
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-504-5678
Mailing Address - Fax:770-994-4747
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:770-603-3649
Practice Address - Fax:770-994-4747
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-01-13
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Provider Licenses
StateLicense IDTaxonomies
GA42658207PE0004X
GA042658207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services