Individual
DR. TRAVIS WYATT MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 CALEDON CT, SUITE C, GREENVILLE, SC 29615-3170
(864) 232-7734
(864) 232-7099
Mailing address
17 CALEDON CT, SUITE C, GREENVILLE, SC 29615-3170
(864) 232-7734
(864) 232-7099
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
37787
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000522575
ANTHEM
KY
01
—
000000522532
ANTHEM
KY
05
—
200866890
—
IN
01
—
50015433
PASSPORT PCP
KY
01
—
50015434
PASSPORT SPECIALITY
KY
01
—
50015435
PASSPORT SPECIALITY
KY
05
—
7100012890
—
KY
Enumeration date
01/22/2007
Last updated
02/09/2015
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