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Individual

MARK J MCCOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
201 RONNIE CT, MYRTLE BEACH, SC 29579-4136
(843) 236-2273
(843) 236-7303
Mailing address
529 PRINCE ST, GEORGETOWN, SC 29440-3627
(843) 224-5575

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC 3610
SC

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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