Individual
DR. BRUCE PATRICK MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2959 HIGHWAY 154, BUILDING C, SUITE A, NEWNAN, GA 30265-2297
(770) 304-0333
(770) 304-2281
Mailing address
2959 HIGHWAY 154, BUILDING C, SUITE A, NEWNAN, GA 30265-2297
(770) 304-0333
(770) 304-2281
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN009359
GA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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