Individual
DR. THOMAS HATTON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
539 ROLLING ACRES RD, LADY LAKE, FL 32159-5035
(352) 973-4070
(352) 973-4085
Mailing address
539 ROLLING ACRES RD, LADY LAKE, FL 32159-5035
(352) 973-4070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30207
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7955895
—
NC
05
—
N30207
—
SC
Enumeration date
11/18/2005
Last updated
10/05/2020
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