Individual
PHILLIP A COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
619 SKYLINE DR, JACKSON, TN 38301-3903
(731) 422-0213
(731) 882-5052
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 423-2073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1216
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3305276
—
TN
Enumeration date
09/15/2005
Last updated
12/10/2025
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