Individual
JESSE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3950 AUSTELL RD., AUSTELL, GA 30106
(470) 732-3021
Mailing address
3950 AUSTELL RD., AUSTELL, GA 30106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN230811
GA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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