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NPI Code Detail

MEDICARE: JOHN F MCCOY M.D.

MEDICARE: JOHN F MCCOY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist11407GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346244613
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN F MCCOY M.D.
Provider Business Mailing Address
First Line : 2225 US HIGHWAY 41 N
Second Line :
City : TIFTON
State : GA
Zip : 31794-2749
Country : US
Telephone Number : 229-391-4100
Fax Number : 229-391-4508
Provider Business Practice Location Address
First Line : 2225 US HIGHWAY 41 N
Second Line :
City : TIFTON
State : GA
Zip : 31794-2749
Country : US
Telephone Number : 229-391-4100
Fax Number : 229-391-4508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/08/2007

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Directions to “ JOHN F MCCOY M.D.” Practice Location

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