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Individual

EMERY BRAD MCCOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O., PLLC

Contact information

Practice address
3761A TEAYS VALLEY ROAD, HURRICANE, WV 25526-9705
(304) 760-8721
(304) 760-8722
Mailing address
3761A TEAYS VALLEY ROAD, HURRICANE, WV 25526-9705
(304) 760-8721
(304) 760-8722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1953
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001777930
WV
01
1477665768
MEDICARE RAILROAD
WV
Enumeration date
08/31/2006
Last updated
06/01/2020
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