Individual
BETH ANNE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2729
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
209001592
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209001592
IL
Other
Enumeration date
03/16/2006
Last updated
04/28/2022
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