Individual
MR. BRUCE PHILLIP MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
526 NORTH ELAM AVENUE, SUITE 201, GREENSBORO, NC 27403-1132
(336) 855-6131
(336) 855-6132
Mailing address
526 NORTH ELAM AVENUE, SUITE 201, GREENSBORO, NC 27403-1132
(336) 855-6131
(336) 855-6132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24271
NC
207ND0900X
Dermatopathology Physician
24271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4431617002
CIGNA
NC
01
—
55821
BCBS
NC
01
—
7393398
AETNA
NC
05
—
8955821
—
NC
Enumeration date
01/08/2007
Last updated
07/16/2016
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