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Individual
CASSANDRA MARIE MCCOY
Active
Individual
CASSANDRA MARIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205799
VA
207Q00000X
Family Medicine Physician
4066
WV
390200000X
Student in an Organized Health Care Education/Training Program
OT017386
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780066837
—
WV
Enumeration date
06/25/2015
Last updated
05/12/2026
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