Mccoy, Travis Wyatt
Mccoy, Travis Wyatt is an individual health care provider with primary practice located at 17 Caledon Ct Suite C, Greenville SC 29615-3170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Mccoy, Travis Wyatt can be contacted via phone (864) 232-7734.Contact Information
Primary practice address
17 Caledon Ct Suite C
Greenville SC 29615-3170
Phone: (864) 232-7734
Fax: (864) 232-7099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 37787 | South Carolina |
Profile Details
| NPI number | 1174676001 |
|---|---|
| LBN Legal business name | Mccoy, Travis Wyatt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Feb 9th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174676001 | NPPES |
| Kentucky | Other | 0000000522575 | ANTHEM |
| Kentucky | Other | 000000522532 | ANTHEM |
| Kentucky | Other | 50015434 | ANTHEM |
| Kentucky | Other | 50015433 | ANTHEM |
| Kentucky | MEDICAID | 200866890 | ANTHEM |
| Kentucky | Other | 50015435 | ANTHEM |
| Kentucky | MEDICAID | 7100012890 | ANTHEM |
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