Individual
ALEXIA MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 N KEMPER ST, LAKEVIEW, SC 29563
(843) 759-2189
(843) 479-2346
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 857-0206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3872
—
SC
Enumeration date
04/16/2016
Last updated
10/22/2021
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