Individual
NICOLE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
11143 SHANNON CIR, HAMPTON, GA 30228-1563
(678) 488-2781
Mailing address
11143 SHANNON CIR, HAMPTON, GA 30228-1563
(678) 488-2781
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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