Individual
JOSHUA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PR
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
Mailing address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(681) 888-5291
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
11/11/2022
Last updated
12/21/2022
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