Individual
CHANDRA A. MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 PLAZA DR, RAVENSWOOD, WV 26164-1718
(304) 273-9301
Mailing address
1 W SCHOOL ST, RIPLEY, WV 25271-5279
(304) 372-7350
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
069902841
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069902841
NATABOC
—
Enumeration date
02/18/2020
Last updated
11/27/2023
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