Individual
DUSTIN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449
Mailing address
10800 PARKSIDE DR STE 331, KNOXVILLE, TN 37934-1922
(865) 392-3400
(865) 392-3449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4709
TN
Other
Enumeration date
11/26/2021
Last updated
08/20/2024
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