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Individual

MRS. INGER DALPHINE MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134-5632
(678) 715-5080
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(678) 819-0357

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN140322
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003108313A
GA
05
003108313B
GA
05
003108313C
GA
Enumeration date
11/17/2006
Last updated
03/28/2018
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