Individual
DR. BRIAN D MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4161
Mailing address
105 RIDGEVIEW CV, TUPELO, MS 38801-0400
(662) 407-0943
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
17680
MS
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
17680
MS
Other
Enumeration date
06/01/2006
Last updated
11/05/2007
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