Individual
JAIME VAN KIRK MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15028 QUAKER CHURCH RD, MONTPELIER, VA 23192-2709
(757) 345-9212
Mailing address
233 PADGETTS ORDINARY, WILLIAMSBURG, VA 23185-5578
(757) 345-9212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110007983
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/05/2020
Last updated
06/24/2025
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