Individual
COLLEEN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 532-8438
Mailing address
1609 BON AIR DRIVE, AUGUSTA, GA 30907
(706) 224-1175
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
GA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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