# DR. PATRICIA MASSENGILL MCCOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205819265
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 00017039 | AL | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 05/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000009396 | MEDICARE PTAN | AL |
| 05 | — | 000009396 | — | AL |
| 01 | — | 051009396 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 180036882 | RAILROAD MEDICARE | — |