Individual
DAVID M MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
397 WALLACE RD, SUITE C-314, NASHVILLE, TN 37211-4854
(615) 846-1625
(615) 846-1630
Mailing address
PO BOX 501123, SAINT LOUIS, MO 63150-0001
(615) 846-1625
(615) 846-1630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30524821
—
TN
01
—
4171503
BLUE CROSS BLUE SHIELD
TN
01
—
4224456
AETNA
TN
Enumeration date
03/20/2006
Last updated
05/06/2008
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