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Individual
MCCOY SCOTT GOFORTH
Active
Individual
MCCOY SCOTT GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010720
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5010720
NC
Other
Enumeration date
07/07/2018
Last updated
07/15/2024
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