Individual
DR. NICHOLAS AARON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112 BROUGHTON RD, STE B, MONCKS CORNER, SC 29461-4021
(843) 761-4470
(843) 695-7932
Mailing address
505 N. HWY 52 SUITE D #127, MONCKS CORNER, SC 29461
(843) 761-4470
(843) 695-7932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3453
—
SC
01
—
P01593884
RAILROAD MEDICARE PTAN
SC
Enumeration date
04/15/2009
Last updated
06/16/2016
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