Individual
TYRONE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2453 POWDER SPRINGS RD SW STE 320H, MARIETTA, GA 30064-4570
(404) 829-8998
Mailing address
PO BOX 904, MABLETON, GA 30126-0904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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