Individual
JASMINE T MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3507 KELBURN DR, FAYETTEVILLE, NC 28311-2094
(910) 605-8107
Mailing address
3507 KELBURN DR, FAYETTEVILLE, NC 28311-2094
(910) 605-8107
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NC
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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