Individual
TAMMYETTE MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 OCEAN BLVD, SUITE 205, ST SIMONS ISLAND, GA 31522-4824
(912) 638-0350
(912) 638-9030
Mailing address
1501 ADIE STREET, PHENXI CITY, AL 36869
(334) 448-9584
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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