Individual
MS. SHADERIKA WILLIS MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-4520
Mailing address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-4520
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5004764
NC
Other
Enumeration date
07/10/2010
Last updated
04/05/2016
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