Individual
GARDNER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 477-3383
(478) 475-9492
Mailing address
4740 WESLEYAN WOODS DR, MACON, GA 31210-4442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN144967
GA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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