Individual
MR. MARK W MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
320 W MAIN ST, COVINGTON, VA 24426-1517
(540) 962-6226
(540) 962-7447
Mailing address
PO BOX 136, COVINGTON, VA 24426-0136
(540) 962-6226
(540) 962-7447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202368
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195325
ANTHEM PROVIDER NUMBER
VA
Enumeration date
07/07/2005
Last updated
07/09/2007
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