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Individual

REGINA MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1507 N ROAD ST STE 3, ELIZABETH CITY, NC 27909
(252) 335-2963
(252) 335-2636
Mailing address
1507 N ROAD ST STE 3, ELIZABETH CITY, NC 27909-3283
(252) 335-2963
(252) 335-2636

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024174447
VA
363L00000X
Nurse Practitioner
Primary
5008254
NC

Other

Enumeration date
02/23/2016
Last updated
04/26/2019
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