Individual
ANGELA D. MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4333
(334) 244-1830
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
234520
AR
367500000X
Certified Registered Nurse Anesthetist
25237
TN
367500000X
Certified Registered Nurse Anesthetist
R858272
MS
Other
Enumeration date
05/22/2009
Last updated
10/01/2025
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