Individual
MR. DERRICK THEODRIC MCCOY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 NE EXPY NE, ATLANTA, GA 30345-4206
(678) 814-8070
Mailing address
2825 NE EXPY NE, ATLANTA, GA 30345-4206
(678) 814-8070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN304777
GA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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