Individual
KERRI JO MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP
Contact information
Practice address
3710 HIGHWAY 17, MURRELLS INLET, SC 29576-5005
(663) 892-7278
Mailing address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3299
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3299
STATE LISCENSE
SC
Enumeration date
01/22/2008
Last updated
09/18/2020
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