Individual
MIA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 410-5437
(251) 434-3783
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3-000910
AL
363LP2300X
Primary Care Nurse Practitioner
APN19723
TN
Other
Enumeration date
03/19/2015
Last updated
06/13/2022
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