Mccoy Medical

NPI #1225263080 in Dyersburg, Tennessee

Provider Information

NPI Number: 1225263080
Entity Type: Organization
Organization Name: Mccoy Medical
Primary Specialty: Nurse Practitioner
Enumeration Date: May 22, 2009
Last Updated: Oct 25, 2012

Practice Location

Address: 1385 FLOWERING DOGWOOD LN
Address 2: SUITE C
City: Dyersburg
State: Tennessee
ZIP Code: 38024-6409
Phone: (731) 287-0804

Authorized Official

Name: MISTY A MCCOY, ACNP-BC
Title: OWNER DIRECTOR
Phone: (731) 287-0804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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