Individual
WHITNEY MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 FAIRWAYS CT, STOCKBRIDGE, GA 30281-7278
(678) 612-2158
Mailing address
PO BOX 774, STOCKBRIDGE, GA 30281-0774
(678) 612-2158
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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