Individual
REBECCA L MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2849 HENDERSON MILL RD STE A, ATLANTA, GA 30341-5772
(770) 939-7676
Mailing address
2849 HENDERSON MILL RD STE A, ATLANTA, GA 30341-5772
(770) 939-7676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
91677
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
07/22/2022
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