Mccoy, James

Mccoy, James is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1F, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccoy, James can be contacted via phone (276) 386-5980.

Contact Information

Primary practice address
105 W Stone Dr Ste 1F Kingsport TN 37660-3256
Phone: (276) 386-5980
Fax: (276) 386-9387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 11894 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101028967 Virginia

Profile Details

NPI number 1124021407
LBN Legal business name Mccoy, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124021407 NPPES
Tennessee MEDICAID 3173560
Tennessee MEDICAID 5622255

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