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Individual

JOHN F MCCOY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
(229) 391-4508
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
(229) 391-4508

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11407
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00148695B
GA
Enumeration date
06/02/2005
Last updated
07/08/2007
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