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Individual
MR. SHAWN MCCOY
Active
Individual
MR. SHAWN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA8608
MA
363A00000X
Physician Assistant
Primary
PA8608
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2021
Last updated
01/25/2024
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