Organization
CONVENIENT CARE OF FULTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAIN D MCCOY MD (OWNER)
(662) 862-4422
Entity
Organization
Contact information
Practice address
1301 S ADAMS ST, FULTON, MS 38843-8862
(662) 862-4422
(662) 862-4244
Mailing address
1301 S ADAMS ST, FULTON, MS 38843-8862
(662) 862-4422
(662) 862-4244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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